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

*Bijbehorende auteur voor dit werk

    Onderzoeksoutput: Review articlepeer review

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    Samenvatting

    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.

    Originele taal-2English
    Pagina's (van-tot)1129-1136
    Aantal pagina's8
    TijdschriftCHILDS NERVOUS SYSTEM
    Volume35
    Nummer van het tijdschrift7
    DOI's
    StatusPublished - jul-2019

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