title: Congenital malformation of the inner ear associated with recurrent meningitis.
abstract: Congenital deformities of the labyrinth of the inner ear can be associated with meningitis and varying degrees of hearing loss or deafness. A recurrence of meningitis is due to the development of a fistulous communication between the subarachnoid space and the middle ear cavity, and can prove lethal. An illustrative case of a 4-year-old Japanese girl with bilateral severe hearing loss, recurrent meningitis and malformations of the inner ear and stapes footplate is presented. Removal of the stapes during tympanotomy provoked a gush of cerebrospinal fluid. The defect was repaired successfully, and there has been no further episodes of meningitis to date.
authors.affiliation: Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kimitsuki
authors.forename: M
authors.initials: M
authors.lastname: Inamitsu
authors.forename: S
authors.initials: S
authors.lastname: Komune
authors.forename: S
authors.initials: S
authors.lastname: Komiyama
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D000077525:Cefdinir; D002511:Cephalosporins / Q000627:therapeutic use; D002558:Cerebrospinal Fluid Otorrhea / Q000209:etiology; D002675:Child, Preschool; D003051:Cochlea / Q000002:abnormalities* / Q000601:surgery; D004427:Ear Diseases / Q000209:etiology; D007758:Ear, Inner / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000382:microbiology*; D005260:Female; D005402:Fistula / Q000209:etiology; D006192:Haemophilus Infections / Q000150:complications*; D006311:Hearing Disorders / Q000151:congenital; D006801:Humans; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000188:drug therapy / Q000382:microbiology*; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D014432:Tympanic Membrane / Q000601:surgery
chemical_list: D000890:Anti-Infective Agents; D002511:Cephalosporins; D000077525:Cefdinir