Recurrent Bacterial Meningitis Associated With Mondini Dysplasia

Lien, Tien-Hau; Fu, Chun-Min; Hsu, Chin-Hsien; Lu, Li; Peng, Steven Shinn-Forng; Chang, Luan‐Yin

doi:10.1016/j.pedneo.2011.06.010

Cited by 12 publications

(3 citation statements)

References 5 publications

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“…Hearing abnormalities in patients with unilateral malformation were not easily detected by parents or doctors, resulting in delayed diagnosis and treatment. Majority of inner ear malformations could not be correctly diagnosed until one or even several episodes of bacterial meningitis (Lien et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Predisposing Conditions and Etiology of Pediatric Recurrent Bacterial Meningitis in Beijing Children's Hospital, 2006-2018

Chen¹,

Chen²,

Hu³

et al. 2020

Preprint

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Objective To investigate the predisposing conditions, etiology and clinical characteristics of recurrent bacterial meningitis (RBM) in children.Methods Seventy patients of RBM treated in Beijing Children's Hospital from January 2006 through December 2018 were retrospectively analyzed.Results Predisposing conditions of RBM include: inner ear malformations 24(34.3%), dermal sinus tracts 15(21.4%), head trauma 15(21.4%), meningoencephalocele 12(17.1%), and immune deficiency 4(5.7%). Sixty-seven occasions of meningitis had positive bacterial cultures. Thirty-one occasions of Streptococcus pneumoniae ( S. pneumonia ) meningitis and 3 occasions of Haemophilus influenzae type b (Hib) meningitis occurred in the 24 patients with inner ear malformations; Seventeen occasions of S. pneumonia meningitis occurred in the 15 patients with head trauma, while 8 occasions of S. pneumonia meningitis in 12 patients with Meningoencephalocele; There were 2 Enterococcus faecalis meningitis, 1 Escherichia coli meningitis and 1 Staphylococcus aureus meningitis in 15 patients with dermal sinus tracts; Two of 4 patients with immune deficiency suffered S. pneumoniae meningitis.Conclusions Predisposing conditions of RBM in children include inner ear malformations, head trauma, meningoencephalocele, dermal sinus tracts, and immune deficiency. The most common etiology of RBM with inner ear malformation, head trauma, meningoencephalocele, and immune deficiency is S. pneumoniae . Empiric antibiotic treatment of RBM in children should cover S. pneumoniae.

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Section: Discussionmentioning

confidence: 99%

Predisposing Conditions and Etiology of Pediatric Recurrent Bacterial Meningitis in Beijing Children's Hospital, 2006-2018

Chen¹,

Chen²,

Hu³

et al. 2020

Preprint

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“…Osteoneogenesis has been described in cochleae with normal anatomy [Durisin et al, 2010] or congenital malformation but present modiolar structures such as enlarged vestibular aqueduct malformation [Mancini et al, 2008]. To our knowledge, there are no reports of new bone formation described in common cavities (IP-1), where more often recurrent episodes occur [Herther and Schindler, 1985;Ohlms et al, 1990;Phelps et al, 1994;Park et al, 2000;Mylanus et al, 2004;Ben-Shoshan et al, 2007;Lien et al, 2011].…”

Section: Discussionmentioning

confidence: 99%

Contralateral Implantation in Children Affected by Postimplant Meningitis

et al. 2013

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This study was designed to investigate the indication and advantages of contralateral implantation after postimplant meningitis (piM). Speech perception assessment, most comfortable levels and high-resolution computer tomography were used to monitor cochlear fibrosis/ossification and clinical changes in outcomes in 5 children affected by meningitis after a variable-time post-cochlear implantation. Ipsilateral ossification was found in 3 children, 1 of whom developed delayed contralateral ossification. These children were implanted on the contralateral side as they all showed deterioration of hearing performance. Results from the present paper and literature analysis suggest that, (1) piM can induce ipsilateral and contralateral ossification, (2) meningitis-induced cochlear ossification is more prone to develop in the presence of a normal cochlear structure and (3) contralateral implantation after piM has proven to be effective in restoring performance when a full electrode insertion is accomplished.

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“…Implantasi koklea juga telah terbukti berguna untuk pemulihan pendengaran. 2,3,10 Diagnosis pada kasus ini ditegakkan melalui anamnesis, pemeriksaan fisik, pemeriksaan laboratorium serta tomografi komputer. Pada kasus ini, seorang anak laki-laki berusia 6 tahun dengan masalah meningitis, serta otitis media akut berulang, tanpa didapatkan adanya keluhan gangguan pendengaran.…”

Section: Diskusiunclassified

Displasia Mondini sebagai faktor risiko terjadinya komplikasi meningitis berulang

Arifianto¹,

Lasminingrum²,

Aroeman³

et al. 2015

Oto Rhino Laryn Indones

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Latar belakang: Displasia Mondini adalah kasus yang jarang ditemukan namun merupakan penyebab penting terjadinya meningitis berulang pada anak dan membutuhkan indeks kecurigaan klinisyang tinggi sehingga dapat dilakukan diagnosis sedini mungkin. Displasia Mondini adalah kelainankongenital berupa malformasi koklea yang terjadi akibat dari gangguan perkembangan embrio pada telingabagian dalam, di minggu ke tujuh. Anomali kongenital tulang temporal dapat menyebabkan fistulisasiantara telinga tengah dan ruang subarakhnoid. Tujuan: Mempresentasikan kasus displasia Mondini dengan komplikasi meningitis berulang. Kasus: Satu kasus displasia Mondini disertai hipertrofi adenoiddan meningitis berulang pada anak laki-laki usia enam tahun. Penatalaksanaan: Medikamentosa denganpemberian antibiotik dan adenoidektomi. Kesimpulan: Displasia Mondini dengan faktor predisposisihipertrofi adenoid disertai meningitis berulang yang dilakukan adenoidektomi memberikan hasil yangbaik dengan tidak didapatkan kembali meningitis berulang pada pasien setelah tiga tahun. Kata kunci : displasia Mondini, hipertrofi adenoid, adenoidektomi, meningitis berulang ABSTRACTBackground: Mondini dysplasia is a rare case but has an important role for recurrent pyogenic meningitis in children and requires a high index of clinical suspicion for early diagnosis. Mondinidysplasia is malformation of the cochlea due to impairment of the embryonic development of the innerear during the seventh week of fetal life. Congenital anomalies of temporal bone may cause fistulisation between the middle ear and subarachnoid space. Purpose: To present a case of Mondini dysplasia with recurrent meningitis complication. Case: A case of Mondini dysplasia accompanied by hypertrophyadenoid and recurrent meningitis in a six year old boy. Management: Medical treatment with antibioticand adenoidectomy. Conclusion: Adenoidectomy for management of Mondini dysplasia with recurrentmeningitis accompanied by adenoid hypertrophy, gave a good result with no recurrent meningitis afterthree years. Key words: Mondini dysplasia, adenoid hypertrophy, adenoidectomy, recurrent meningitis

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Recurrent Bacterial Meningitis Associated With Mondini Dysplasia

Cited by 12 publications

References 5 publications

Predisposing Conditions and Etiology of Pediatric Recurrent Bacterial Meningitis in Beijing Children's Hospital, 2006-2018

Predisposing Conditions and Etiology of Pediatric Recurrent Bacterial Meningitis in Beijing Children's Hospital, 2006-2018

Contralateral Implantation in Children Affected by Postimplant Meningitis

Displasia Mondini sebagai faktor risiko terjadinya komplikasi meningitis berulang

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