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Recurrent Bacterial Meningitis in Paediatrics

Received: 23 May 2019     Accepted: 26 June 2019     Published: 4 July 2019
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Abstract

The number of studies about recurrent bacterial meningitis (RBM) diagnostic challenge in children is limited. Structural approach and early diagnosis of an underlying pathology are crucial to prevent further episodes and improve the overall outcome [1]. 1.3% of children with bacterial meningitis had experienced at least one previous episode. Anatomic abnormalities are the most common predisposing factor for RBM, and congenital inner ear malformation is the leading cause [2]. Acquired immune deficiency (HIV) forms an important cause of RBM in some areas [22]. Terminal Complement defect is the leading congenital immunodeficiency that may cause RBM [1]. History of head trauma is an important factor but should not lead to exclude other important factors. Isolation of a specific bacterial organism can guide the diagnostic approach. We want to report a case of recurrent bacterial meningitis in a 12 year old boy with a small nasal ethmoidal CSF- leak fistula activation after 6 years of a head trauma. A diagnostic approach has been suggested depending on review of many trusted studies and clinical experiences.

Published in American Journal of Pediatrics (Volume 5, Issue 3)
DOI 10.11648/j.ajp.20190503.14
Page(s) 98-103
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Recurrent Bacterial Meningitis, Children, Microbiologic, Radiologic Diagnosis, Immunodeficiency, Mortality, Prognosis

References
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  • APA Style

    Gihad Alsaeed, Ibrahim Alsaeed, Mohamed Alsaeed. (2019). Recurrent Bacterial Meningitis in Paediatrics. American Journal of Pediatrics, 5(3), 98-103. https://doi.org/10.11648/j.ajp.20190503.14

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    ACS Style

    Gihad Alsaeed; Ibrahim Alsaeed; Mohamed Alsaeed. Recurrent Bacterial Meningitis in Paediatrics. Am. J. Pediatr. 2019, 5(3), 98-103. doi: 10.11648/j.ajp.20190503.14

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    AMA Style

    Gihad Alsaeed, Ibrahim Alsaeed, Mohamed Alsaeed. Recurrent Bacterial Meningitis in Paediatrics. Am J Pediatr. 2019;5(3):98-103. doi: 10.11648/j.ajp.20190503.14

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  • @article{10.11648/j.ajp.20190503.14,
      author = {Gihad Alsaeed and Ibrahim Alsaeed and Mohamed Alsaeed},
      title = {Recurrent Bacterial Meningitis in Paediatrics},
      journal = {American Journal of Pediatrics},
      volume = {5},
      number = {3},
      pages = {98-103},
      doi = {10.11648/j.ajp.20190503.14},
      url = {https://doi.org/10.11648/j.ajp.20190503.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190503.14},
      abstract = {The number of studies about recurrent bacterial meningitis (RBM) diagnostic challenge in children is limited. Structural approach and early diagnosis of an underlying pathology are crucial to prevent further episodes and improve the overall outcome [1]. 1.3% of children with bacterial meningitis had experienced at least one previous episode. Anatomic abnormalities are the most common predisposing factor for RBM, and congenital inner ear malformation is the leading cause [2]. Acquired immune deficiency (HIV) forms an important cause of RBM in some areas [22]. Terminal Complement defect is the leading congenital immunodeficiency that may cause RBM [1]. History of head trauma is an important factor but should not lead to exclude other important factors. Isolation of a specific bacterial organism can guide the diagnostic approach. We want to report a case of recurrent bacterial meningitis in a 12 year old boy with a small nasal ethmoidal CSF- leak fistula activation after 6 years of a head trauma. A diagnostic approach has been suggested depending on review of many trusted studies and clinical experiences.},
     year = {2019}
    }
    

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    T1  - Recurrent Bacterial Meningitis in Paediatrics
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    AU  - Ibrahim Alsaeed
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    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
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    AB  - The number of studies about recurrent bacterial meningitis (RBM) diagnostic challenge in children is limited. Structural approach and early diagnosis of an underlying pathology are crucial to prevent further episodes and improve the overall outcome [1]. 1.3% of children with bacterial meningitis had experienced at least one previous episode. Anatomic abnormalities are the most common predisposing factor for RBM, and congenital inner ear malformation is the leading cause [2]. Acquired immune deficiency (HIV) forms an important cause of RBM in some areas [22]. Terminal Complement defect is the leading congenital immunodeficiency that may cause RBM [1]. History of head trauma is an important factor but should not lead to exclude other important factors. Isolation of a specific bacterial organism can guide the diagnostic approach. We want to report a case of recurrent bacterial meningitis in a 12 year old boy with a small nasal ethmoidal CSF- leak fistula activation after 6 years of a head trauma. A diagnostic approach has been suggested depending on review of many trusted studies and clinical experiences.
    VL  - 5
    IS  - 3
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Author Information
  • Department of Pediatrics, Altakhassussi Hospital, Riyadh, Saudi Arabia

  • Faculty of Medicine, University of Milan, Milan, Italy

  • Faculty of Medicine, University of Pavia, Pavia, Italy

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