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Recurrent Bacterial Meningitis

Secondary to Malformation of The Inner Ear

Department of Pediatrics, Kansai Medical University

Minoru Kino, MD

Department of Pediatrics, Kansai Medical University

Urara Nobori, MD

Department of Pediatrics, Kansai Medical University

Masahiro Yanagida, MD

Department of Otolaryngology, Kansai Medical University, Fumizonocho 1, Moriguchi Osaka 570, Japan

Kohichi Ushiro, MD

Department of Otolaryngology, Kansai Medical University, Fumizonocho 1, Moriguchi Osaka 570, Japan

Tadami Kumazawa, MD

Department of Otolaryngology, Kansai Medical University, Fumizonocho 1, Moriguchi Osaka 570, Japan

Yohnosuke Kobayashi, MD

Department of Pediatrics, Kansai Medical University

A 5-year-old girl with congenital sensorial deafness experienced four episodes of bacterial meningitis in a 13-month period. On the fourth episode, an extensive search for the cause of recurrent meningitis was conducted.

Complete immunologic studies, humoral, cellular, and phagocytic, yielded negative results. Precise otological examination, i.e., skull roentgenograms, an inner ear target CT scan, and puncture of the eardrum, was attempted, which disclosed the inner ear malformation (Mondini's anomaly) and a cerebrospinal fluid (CSF) fistula. CSF discharge from the oval window was repaired surgically.

Extensive otologic evaluation should be conducted in patients with recurrent bacterial meningitis.

Clinical Pediatrics, Vol. 28, No. 3, 139-141 (1989)
DOI: 10.1177/000992288902800308


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