Penetran meningoencephalitis and cerebro-spinal fluid fistula developing as a result of a house accident from a knitting needle

Volume: 49 Number: 2 June 1, 2010
  • Üçüktaşçı K
  • Ergin H
  • Çırak B
  • Kıroğlu Y
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Penetran meningoencephalitis and cerebro-spinal fluid fistula developing as a result of a house accident from a knitting needle

Abstract

Childhood head traumas are much more frequent in 1-3 year old period because of relatively lower levels of selfprotection. Penetrating type head traumas constitute only a small part of these cases. Rhinorrhea develops in 2% of head traumas, and subsequent meningitis is seen in 7-30% of these cases. Treatment alternatives in cases with cerebrospinal fluid (CSF) leakage include CSF drainage, conservative and surgical treatment. A 13 months-old male infant, who had a knitting needle penetration history to his superior palate during in a home game was admittted to our hospital the day after the injury. He had vomiting, a decrease in sucking and fever complaints. He was letargic at admission, and he had anterior fontanel bulging in his physical examination. CSF analysis indicated meningitic findings, and cranial magnetic resonance imaging demonstrated meningoencephalitis. Vancomycin, cefotaxime and acyclovir were used as the treatment regimen. Rhinorrhea was determined on the next day of admission. However, fistula tractus could not be clearly demonstrated by computerized tomography. Consequenty, CSF drainage was applied every other day. Streptococcus pneumoniae was cultured in CSF specimens and herpes virus polymerase chain reaction was found to be negative. Therefore acyclovir treatment was terminated and the patient was discharged with complete recovery after a 10 day antibiotherapy.

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Primary Language

Turkish

Subjects

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Journal Section

-

Authors

Üçüktaşçı K

Ergin H

Çırak B

Kıroğlu Y

Publication Date

June 1, 2010

Submission Date

June 1, 2010

Acceptance Date

-

Published in Issue

Year 2010 Volume: 49 Number: 2

IZ

https://izlik.org/JA44DZ97MT

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Vancouver
1.Üçüktaşçı K, Ergin H, Çırak B, Kıroğlu Y. Örgü şişiyle ev kazası sonucu gelişen penetran meningoensefalit ve bos fistülü. EJM [Internet]. 2010 Jun. 1;49(2):117-22. Available from: https://izlik.org/JA44DZ97MT

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