Escherichia coli meningitis in a 16-month old infant revealing a posterior fossa epidermoid cyst

Meningitis due to Escherichia coli is rare, and generally observed in very particular circumstances, such as neonatal period, anatomical anomalies or in immune-deficient patients. A 16-month-old male infant was admitted for acute meningitis. E coli was detected in the cerebro-spinal fluid (CSF). As...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 1998-09, Vol.5 (9), p.988-991
Main Authors: Baujat, G, Le Masne, A, Cinalli, G, Abadie, V
Format: Article
Language:fre
Subjects:
Acute Disease
Bone Diseases - complications
Bone Diseases - diagnosis
Bone Diseases - surgery
Cranial Fossa, Posterior
Epidermal Cyst - complications
Epidermal Cyst - diagnosis
Epidermal Cyst - surgery
Escherichia coli - isolation & purification
Escherichia coli Infections - cerebrospinal fluid
Escherichia coli Infections - complications
Escherichia coli Infections - diagnosis
Humans
Infant
Magnetic Resonance Imaging
Male
Meningitis, Bacterial - cerebrospinal fluid
Meningitis, Bacterial - complications
Meningitis, Bacterial - diagnosis
Tomography, X-Ray Computed
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Summary:Meningitis due to Escherichia coli is rare, and generally observed in very particular circumstances, such as neonatal period, anatomical anomalies or in immune-deficient patients. A 16-month-old male infant was admitted for acute meningitis. E coli was detected in the cerebro-spinal fluid (CSF). As appropriate antibiotic treatment proved inefficient, a cerebral computerised tomography (CT) scan was performed, revealing an epidermoid cyst of the posterior fossa. The cyst was resected after CSF sterilisation. Postoperative recovery was satisfactory. When an unusual bacterial species such as E coli is detected in CSF, the authors suggest consideration of a cutaneous or ETN focus, or a congenital malformation with communication between cutaneous and meningeal structures.
ISSN:0929-693X