[Partial Currarino syndrome in a non-pediatric patient. A rare cause of bacterial meningitis].
Enterogenic meningitis is an infrequent cause of central nervous system infection. Among these causes the Currarino syndrome may be found presenting sacral agenesis, presacral mass and anorectal stenosis. This syndrome normally causes enterogenic meningitis in the early years of life. The case reported corresponds to a 24-year-old male presenting polymicrobial meningitis with fecal flora germs (anerobic enterococci, Bacteroides fragilis and Escherichia coli). These clinical findings led to radiologic lumbar study with the diagnosis of Currarino syndrome. The existence of neuroenteric fistulas justifies the development of fecal flora meningitis. The nosology of the syndrome as well as the therapeutic strategy are reviewed.
Tamayo
J A
JA
Servicio Neurología, Hospital Regional de Málaga.
Arráez
M A
MA
Villegas
I
I
Ruiz
J
J
Rodríguez
E
E
Fernández
O
O
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001442:Bacteroides Infections / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D008588:Meningocele / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D012007:Rectum / Q000473:pathology* / Q000601:surgery; D012447:Sacrum / Q000002:abnormalities*; D013577:Syndrome; D016896:Treatment Outcome; D016055:Urinary Retention / Q000150:complications*
D000900:Anti-Bacterial Agents