Meningitis and epidural abscess related to pansinusitis.
Sinusitis can rarely be latent and present directly with intracranial complications. We present the case of an 11-year-old girl who presented with typical features of meningitis. She underwent neuroimaging because of slow improvement and concern for a brain abscess. Despite no history or examination findings suggestive of sinusitis, she was found to have pansinusitis with intracranial extension causing meningitis and epidural abscess.
Mittal
Manoj K
MK
Division of Emergency Medicine, daggerDepartment of Radiology, The Children's Hospital of Philadelphia19104-4399, USA. Mittal@email.chop.edu
Zimmerman
Robert A
RA
D016866:Bacteroidaceae Infections / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D002439:Cefotaxime / Q000008:administration & dosage / Q000627:therapeutic use; D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D003131:Combined Modality Therapy; D003244:Consciousness Disorders / Q000209:etiology*; D003952:Diagnostic Imaging / Q000379:methods; D004359:Drug Therapy, Combination; D016970:Eikenella / Q000302:isolation & purification; D004630:Emergencies; D004724:Endoscopy; D020802:Epidural Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D005260:Female; D005674:Fusobacterium Infections / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D008795:Metronidazole / Q000008:administration & dosage / Q000627:therapeutic use; D013517:Otorhinolaryngologic Surgical Procedures; D010462:Peptostreptococcus / Q000302:isolation & purification; D018713:Prevotella intermedia / Q000302:isolation & purification; D012852:Sinusitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D013203:Staphylococcal Infections / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D014640:Vancomycin / Q000008:administration & dosage / Q000627:therapeutic use
D008795:Metronidazole; D014640:Vancomycin; D002443:Ceftriaxone; D002439:Cefotaxime