Oral wooden stick injury complicated by meningitis and brain abscess.
Meningitis is rarely seen following oral injury. We describe a 3-year-old boy developing meningitis and brain abscess following a penetrating oral wooden stick injury. There was no cerebrospinal fluid rhinorrhea noted. A cerebrospinal fluid culture yielded viridans streptococcus. Brain magnetic resonance imaging and computed tomography revealed a multiloculated ring-enhancing mass. This patient underwent surgical drainage and completed 8-week antibiotic therapy. The patient demonstrated a late and dismal complication of a penetrating oral injury. At 2-year follow-up the patient was in good condition. A penetrating oral wooden stick inury should be regarded as potentially serious.
Chang
Chin-Jung
CJ
Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, ROC.
Huang
Li-Tung
LT
Lui
Chun-Chung
CC
Huang
Song-Chei
SC
D001922:Brain Abscess / Q000209:etiology*; D002675:Child, Preschool; D006801:Humans; D008297:Male; D008581:Meningitis / Q000209:etiology*; D009055:Mouth / Q000293:injuries*; D014950:Wounds, Penetrating / Q000150:complications*