Suppurative intracranial complications of sinusitis in previously healthy children.
In this retrospective case series, we describe the clinical features and microbiology of 16 previously healthy children with suppurative intracranial complications of sinusitis. Most cases were male adolescents who presented with vomiting in addition to typical sinusitis symptoms. Neurologic signs were often absent. Streptococcus milleri group organisms, along with anaerobes, were common pathogens.
Bair-Merritt
Megan H
MH
Pediatric Generalist Research Group, Division of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Shah
Samir S
SS
Zaoutis
Theoklis E
TE
Bell
Louis M
LM
Feudtner
Chris
C
D000293:Adolescent; D001421:Bacteria, Anaerobic / Q000302:isolation & purification; D001424:Bacterial Infections / Q000150:complications* / Q000382:microbiology; D001922:Brain Abscess / Q000209:etiology* / Q000382:microbiology / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D013354:Empyema, Subdural / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D012852:Sinusitis / Q000150:complications* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology; D013291:Streptococcus / Q000302:isolation & purification