Late posttraumatic meningitis with concealed CSF otorrhea.
An 11-year-old girl with repeated pneumococcal meningitis after head injury is reported. High resolution CT scan with metrizamide cisternogram disclosed a fracture in petrous bone with collection of contrast medium in middle ear. Operative repair of the dura defect successfully stopped further intracranial infection. In cases of late posttraumatic infection, aggressive survey of the skull base is indicated.
Lui
T N
TN
Department of Surgery, Chang Gung Medical College, Taipei, Taiwan, Republic of China.
Lee
S T
ST
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001930:Brain Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D008586:Meningitis, Pneumococcal / Q000209:etiology*; D012887:Skull Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents