Zieliński Rafał, Zakrzewska Anna
Klinika Otolaryngologii, Audiologii i Foniatrii Dziecięcej UM w Łodzi.
Otolaryngol Pol. 2012 May-Jun;66(3):227-31. doi: 10.1016/S0030-6657(12)70774-6.
The most frequent primary infections causing purulent meningitis in older children are both acute and chronic otitis media and sinusitis or upper and lower airways infections. In these cases sometimes purulent meningitis is accompanied with other intracranial complications. Pharmacological treatment of intracranial complications without surgical intervention concerning primary source of infection increases risk of complications including death of a patient and also recurrences of bacterial meningitis. In the paper authors present two uncommon cases of children with purulent meningitis and other intracranial complications of otitis media and sinusitis diagnosed by pediatricians.
在大龄儿童中,引起化脓性脑膜炎最常见的原发性感染是急慢性中耳炎、鼻窦炎或上、下呼吸道感染。在这些情况下,有时化脓性脑膜炎会伴有其他颅内并发症。对于颅内并发症,如果不针对感染的原发灶进行手术干预,仅进行药物治疗会增加包括患者死亡在内的并发症风险,以及细菌性脑膜炎复发的风险。在本文中,作者介绍了两例由儿科医生诊断出的患有化脓性脑膜炎以及中耳炎和鼻窦炎其他颅内并发症的儿童罕见病例。