Fatal Meningitis in a 14-Month-Old with Currarino Triad.
We report a case of a 14-month-old girl with undiagnosed Currarino triad presenting acutely with meningitis caused by enteric commensals. Head CT demonstrated a large pneumocephalus. A fistulous neurenteric tract through a presacral mass was present on spine MRI and abdominal CT. The patient had a history of constipation for the last three months. However, an underlying diagnosis of Currarino triad had not been suspected. In retrospect, a sickle-shaped sacral anomaly was present on a previous abdominal radiograph. The patient succumbed to complications of meningitis. The purpose of the case report is to highlight the potentially fatal complication of Currarino triad and sensitize radiologists to look actively for sacral anomalies on abdominal radiographs, especially of children with chronic constipation.
Diagnostic and Interventional Neuroradiology, National Guard Health Affairs, Riyadh 11426, Saudi Arabia.
Hanan Mohammed
0000-0003-2106-230X
HM
Al Qahtani
Medical Imaging, National Guard Health Affairs, Riyadh 11426, Saudi Arabia.
Khalid
K
Suliman Aljoqiman
General Pediatrics, King Abdullah Specialist Children's Hospital, National Guard Health Affairs, Riyadh 11426, Saudi Arabia.
Hisham
H
Arabi
Pediatric Radiology, King Abdullah Specialist Children's Hospital, National Guard Health Affairs, Riyadh 11426, Saudi Arabia.
Hesham
H
Al Shaalan
Pediatric Radiology, King Abdullah Specialist Children's Hospital, National Guard Health Affairs, Riyadh 11426, Saudi Arabia.
Sumit
0000-0003-3753-5861
S
Singh