title: [Three children with recurrent meningitis as the result of an anatomical defect].
abstract: Three children, a 12-year-old girl, a 5-year-old boy and a 5-year-old girl, were referred with recurrent episodes of meningitis. After an immunological defect had been ruled out early in the diagnostic work-up, the cause appeared to be an anatomical defect. After surgical treatment, no further meningitis occurred. Recurrent meningitis in children is rare. Anatomical defects, congenital or acquired, in the otorhinolaryngological area are the main cause. Conscientious history taking, careful physical examination and imaging using high-definition cranial computed tomography are important in establishing the diagnosis. In order to minimise the risk of another episode of meningitis, the otorhinolaryngologist should be consulted immediately in the diagnostic and therapeutic process and this process should be completed as soon as possible.
authors.affiliation: Afd. Keel-, Neus- en Oorheelkunde, Universitair Medisch Centrum Utrecht, locatie Wilhelmina Kinderziekenhuis, Postbus 85.090, 3508 AB Utrecht.
authors.forename: G F J P M
authors.initials: GF
authors.lastname: Adriaensen
authors.forename: T F W
authors.initials: TF
authors.lastname: Wolfs
authors.forename: A G M
authors.initials: AG
authors.lastname: Schilder
mesh_terms: D002648:Child; D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008581:Meningitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D012008:Recurrence; D019291:Skull Base / Q000002:abnormalities* / Q000601:surgery