Meningococcal meningitis complicated by subdural empyema and epiduritis in an infant

Subdural empyema is a rare but terrible complication of meningococcal meningitis in children, which can be fatal. The article describes a clinical case of meningococcal meningitis, complicated by subdural empyema and epiduritis, in a three-year-old child. The development of complications was manifes...

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Main Authors: I. V. Nicolaeva, V. A. Anokhin, G. S. Shaykhieva, M. R. Gataullin, Yu. R. Urmancheeva
Format: Article
Language:Russian
Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2019-11-01
Series:Rossijskij Vestnik Perinatologii i Pediatrii
Subjects:
Online Access:https://www.ped-perinatology.ru/jour/article/view/998
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author I. V. Nicolaeva
V. A. Anokhin
G. S. Shaykhieva
M. R. Gataullin
Yu. R. Urmancheeva
author_facet I. V. Nicolaeva
V. A. Anokhin
G. S. Shaykhieva
M. R. Gataullin
Yu. R. Urmancheeva
author_sort I. V. Nicolaeva
collection DOAJ
description Subdural empyema is a rare but terrible complication of meningococcal meningitis in children, which can be fatal. The article describes a clinical case of meningococcal meningitis, complicated by subdural empyema and epiduritis, in a three-year-old child. The development of complications was manifested by a new wave of fever, bulging of a bregmatic fontanelle and an increase in the inflammatory markers in the blood, as well as the development of neutrophilic pleocytosis after normalization of the cellular composition of the cerebrospinal fluid. The child was diagnosed on the basis of magnetic resonance imaging of the brain and spinal cord. A longterm antibiotic therapy was effective, and the surgery was not required. The development of such complications should be assumed in all cases of a prolonged course of meningitis, accompanied by an increase in the level of inflammatory markers in the blood, even in the absence of the classic symptoms of subdural empyema.
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spelling doaj.art-38245e4d625c45039e093ed1685e57e52023-03-13T09:12:48ZrusLtd. “The National Academy of Pediatric Science and Innovation”Rossijskij Vestnik Perinatologii i Pediatrii1027-40652500-22282019-11-0164523023410.21508/1027-4065-2019-64-5-230-234810Meningococcal meningitis complicated by subdural empyema and epiduritis in an infantI. V. Nicolaeva0V. A. Anokhin1G. S. Shaykhieva2M. R. Gataullin3Yu. R. Urmancheeva4ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РоссииФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РоссииФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РоссииГАУЗ «Республиканская клиническая инфекционная больница им. профессора А.Ф. Агафонова» Минздрава Республики ТатарстанГАУЗ «Республиканская клиническая инфекционная больница им. профессора А.Ф. Агафонова» Минздрава Республики ТатарстанSubdural empyema is a rare but terrible complication of meningococcal meningitis in children, which can be fatal. The article describes a clinical case of meningococcal meningitis, complicated by subdural empyema and epiduritis, in a three-year-old child. The development of complications was manifested by a new wave of fever, bulging of a bregmatic fontanelle and an increase in the inflammatory markers in the blood, as well as the development of neutrophilic pleocytosis after normalization of the cellular composition of the cerebrospinal fluid. The child was diagnosed on the basis of magnetic resonance imaging of the brain and spinal cord. A longterm antibiotic therapy was effective, and the surgery was not required. The development of such complications should be assumed in all cases of a prolonged course of meningitis, accompanied by an increase in the level of inflammatory markers in the blood, even in the absence of the classic symptoms of subdural empyema.https://www.ped-perinatology.ru/jour/article/view/998детигрудной возрастменингококковый менингитсубдуральная эмпиемаэпидуритлечение
spellingShingle I. V. Nicolaeva
V. A. Anokhin
G. S. Shaykhieva
M. R. Gataullin
Yu. R. Urmancheeva
Meningococcal meningitis complicated by subdural empyema and epiduritis in an infant
Rossijskij Vestnik Perinatologii i Pediatrii
дети
грудной возраст
менингококковый менингит
субдуральная эмпиема
эпидурит
лечение
title Meningococcal meningitis complicated by subdural empyema and epiduritis in an infant
title_full Meningococcal meningitis complicated by subdural empyema and epiduritis in an infant
title_fullStr Meningococcal meningitis complicated by subdural empyema and epiduritis in an infant
title_full_unstemmed Meningococcal meningitis complicated by subdural empyema and epiduritis in an infant
title_short Meningococcal meningitis complicated by subdural empyema and epiduritis in an infant
title_sort meningococcal meningitis complicated by subdural empyema and epiduritis in an infant
topic дети
грудной возраст
менингококковый менингит
субдуральная эмпиема
эпидурит
лечение
url https://www.ped-perinatology.ru/jour/article/view/998
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AT vaanokhin meningococcalmeningitiscomplicatedbysubduralempyemaandepiduritisinaninfant
AT gsshaykhieva meningococcalmeningitiscomplicatedbysubduralempyemaandepiduritisinaninfant
AT mrgataullin meningococcalmeningitiscomplicatedbysubduralempyemaandepiduritisinaninfant
AT yururmancheeva meningococcalmeningitiscomplicatedbysubduralempyemaandepiduritisinaninfant