Severe bacterial meningitis due to an enterothecal fistula in a 6-year-old child with Currarino syndrome: evaluation of surgical strategy with review of the literature

Hanne-Rinck Jeltema*, Paul M. A. Broens, Oebele F. Brouwer, Rob J. M. Groen

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    1 Citation (Scopus)
    106 Downloads (Pure)

    Abstract

    Meningitis is a rare but serious complication in patients with Currarino syndrome. We present a 6-year-old girl with a fulminant meningitis due to an enterothecal fistula involving the anterior sacral meningocele. Initial treatment consisted of broad-spectrum intravenous antibiotic therapy and laparoscopic construction of a deviating double-loop ileostomy. This was followed by an elective posterior neurosurgical approach with a sacral laminectomy, evacuation of the empyema, and securing the disconnection of the anterior meningocele from the thecal sac, 10days after initial hospital admission. The girl made a good postoperative recovery. The treatment strategy in the setting of meningitis due to an inflamed anterior meningocele is discussed and the available literature on the topic is reviewed.

    Original languageEnglish
    Pages (from-to)1129-1136
    Number of pages8
    JournalCHILDS NERVOUS SYSTEM
    Volume35
    Issue number7
    DOIs
    Publication statusPublished - Jul-2019

    Keywords

    • Bacterial meningitis
    • Currarino syndrome
    • Enterothecal fistula
    • ANTERIOR SACRAL MENINGOCELE
    • CAUDA-EQUINA SYNDROME
    • RECTOTHECAL FISTULA
    • RECURRENT MENINGITIS
    • SECONDARY
    • TRIAD
    • DIAGNOSIS
    • AGENESIS
    • ADULT

    Cite this