Open AccessMeningococcal meningitis complicated by subdural empyema and epiduritis in an infant
Author(s) -
И. В. Николаева,
В. А. Анохин,
Г. С. Шайхиева,
М. Р. Гатауллин,
Ю. Р. Урманчеева
Publication year - 2019
Publication title -
rossijskij vestnik perinatologii i pediatrii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 4
eISSN - 2500-2228
pISSN - 1027-4065
DOI - 10.21508/1027-4065-2019-64-5-230-234
Subject(s) - subdural empyema , medicine , subdural effusion , meningitis , fontanelle , empyema , pleocytosis , meningococcal meningitis , cerebrospinal fluid , surgery , complication , neisseria meningitidis , hydrocephalus , pathology , biology , bacteria , genetics
Subdural empyema is a rare but terrible complication of meningococcal meningitis in children, which can be fatal. The article describes a clinical case of meningococcal meningitis, complicated by subdural empyema and epiduritis, in a three-year-old child. The development of complications was manifested by a new wave of fever, bulging of a bregmatic fontanelle and an increase in the inflammatory markers in the blood, as well as the development of neutrophilic pleocytosis after normalization of the cellular composition of the cerebrospinal fluid. The child was diagnosed on the basis of magnetic resonance imaging of the brain and spinal cord. A longterm antibiotic therapy was effective, and the surgery was not required. The development of such complications should be assumed in all cases of a prolonged course of meningitis, accompanied by an increase in the level of inflammatory markers in the blood, even in the absence of the classic symptoms of subdural empyema.