title: Meningitis and Riga-Fede disease: an unusual condition.
abstract: BACKGROUND
  Riga-Fede disease (RFD) is a benign inflammatory disorder characterised by the appearance of a traumatic ulceration of the oral mucosa. Early detection of RFD and its adequate management are very important.
  
  
  METHODS
  The authors present a an unusual case of RFD with concomitant Staphylococcus aureus meningitis. A 36-day-old female infant was referred to the emergency room of the Hospital of the University of Siena for a 4-day history of high fever. Clinical evaluation revealed the presence of lingual ulceration caused by natal tooth. Few hours later, clinical manifestations were overshadowed by neurological symptoms. The cerebrospinal fluid examination showed the presence of Staphylococcus aureus. The wound healing after extraction of the tooth and the antibiotic therapy have been important for the resolution of this case. A conservative approach is preferable for natal teeth, but in this case the extraction was suggested since a more radical treatment was more likely to avoid major complications.
authors.affiliation: Tuscan School of Dental Medicine, University of Florence and Siena, Italy, Department of Oral Pathology, Siena.
authors.forename: M
authors.initials: M
authors.lastname: Picciotti
authors.affiliation: Tuscan School of Dental Medicine, University of Florence and Siena, Italy, Department of Orthodontics, Siena.
authors.forename: L
authors.initials: L
authors.lastname: DiVece
authors.affiliation: Tuscan School of Dental Medicine, University of Florence and Siena, Italy, Department of Oral Pathology, Siena.
authors.forename: M
authors.initials: M
authors.lastname: Viviano
authors.affiliation: Tuscan School of Dental Medicine, University of Florence and Siena, Italy, Department of Medicine, Surgery and Neuroscience, Siena.
authors.forename: A
authors.initials: A
authors.lastname: Giorgio
authors.affiliation: Tuscan School of Dental Medicine, University of Florence and Siena, Italy, Department of Oral Pathology, Siena.
authors.forename: G
authors.initials: G
authors.lastname: Lorenzini
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007223:Infant; D016920:Meningitis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D009061:Mouth Mucosa / Q000473:pathology*; D052016:Mucositis / Q000150:complications / Q000175:diagnosis*; D013211:Staphylococcus aureus / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents