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- W87360009 abstract "More than 90% of all bacterial meningitis cases result from hematogenous dissemination of the bacteria during bacteriemia. It is seldom to witness an ascending infection over cerebrospinal fluid fistula in malformations (e.g. myelomenigocele ) or after head trauma, or even continuous infection during sinusitis or mastoiditis. Antrotomy (on both sides) was preformed in an 18-month-old girl with celiac disease suffering from a subacute mastoiditis at that time. Three months later the girl suffered from a pneumococcal meningitis that was treated accordingly with antibiotics. Surgical therapy was performed later on the left lateral skull-base after diagnosis of cerebrospinal fluid otorrhea (dura laceration). Seven months later, the child was admitted again with pneumococcal meningitis. The CT and MRT scans revealed a skull defect on the left petrosal bone with protrusion of brain tissue, however without a fistula; surgical therapy was performed once again. After several surgical revisions on the skull-basis, it is advisable to take into account the possibility of an ascending infection through a cerebrospinal fistula especially in patients with a history of meningitis. Surgical closure of the fistula is an obligation." @default.
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- W87360009 date "2002-01-01" @default.
- W87360009 modified "2023-09-26" @default.
- W87360009 title "Rezidivierende Pneumokokkenmeningitis Bei Einem 2-Jährigen Mädchen" @default.
- W87360009 doi "https://doi.org/10.1080/0030932021000000361" @default.
- W87360009 hasPublicationYear "2002" @default.
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