title: Bacterial meningitis after radiofrequency diathermy for adenoid hypertrophy.
abstract: A 6-year-old otherwise healthy girl who underwent radiofrequency diathermy for adenoid hypertrophy presented with fever on the same day and was diagnosed as having bacterial meningitis 2 days later. Culture of cerebrospinal fluid indicated that the pathogens were penicillin-sensitive Streptococcus pneumoniae and methicillin-sensitive Staphylococcus aureus. The serotype of the causative pneumococcus, 11A, was not covered by the 7-valent pneumococcal conjugate vaccine the patient had been inoculated with. Although not previously reported, radiofrequency diathermy for adenoid hypertrophy can be considered a risk factor for bacteremia and meningitis.
authors.affiliation: Department of Pediatrics, Yokohama Rosai Hospital, Yokohama, Japan.
authors.forename: Azusa
authors.initials: A
authors.lastname: Nagasaki
authors.forename: Atsuo
authors.initials: A
authors.lastname: Sato
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shiro
mesh_terms: D000233:Adenoidectomy / Q000379:methods*; D000234:Adenoids / Q000473:pathology*; D017115:Catheter Ablation / Q000009:adverse effects*; D002648:Child; D004564:Electrocoagulation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006984:Hypertrophy; D016920:Meningitis, Bacterial / Q000209:etiology*; D011008:Pneumococcal Infections / Q000209:etiology; D013203:Staphylococcal Infections / Q000209:etiology; D013211:Staphylococcus aureus; D013296:Streptococcus pneumoniae
keywords: adenoid hypertrophy; bacterial meningitis; child; pneumococcal conjugate vaccine; radiofrequency diathermy