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.
Division of Emergency Medicine, daggerDepartment of Radiology, The Children's Hospital of Philadelphia19104-4399, USA. Mittal@email.chop.edu
Manoj K
MK
Mittal
Robert A
RA
Zimmerman
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