Bauer DF, Tubbs RS, Acakpo-Satchivi L. Mycoplasma meningitis resulting in increased production of cerebrospinal fluid: case report and review of the literature.
Childs Nerv Syst 2008;
24:859-62. [PMID:
18305943 DOI:
10.1007/s00381-008-0590-z]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2008] [Indexed: 11/25/2022]
Abstract
PURPOSE
We report a case of increased cerebrospinal fluid (CSF) production in a child with concomitant mycoplasma meningitis.
MATERIALS AND METHODS
This 4-year-old boy presented with a 2-week history of body aches, malaise, and headaches. He developed sudden onset of obtundation, apnea, left eye deviation, and bilateral dilated and unreactive pupils. A ventriculostomy was placed initially for a poor neurologic examination in the setting of likely meningitis. Initial intracranial pressure was high, and CSF production was supraphysiologic for the first few days of empiric, broad-spectrum treatment. Mycoplasma meningitis was diagnosed. The ventriculostomy was weaned after adequate treatment for mycoplasma meningitis.
RESULTS AND CONCLUSIONS
At 4 months follow-up, the child remains shunt-free with only mild cognitive-linguistic impairment. Untreated mycoplasma meningitis may cause raised intracranial pressure (possibly as a result of increased CSF production) and result in a poor neurological examination. In this setting, CSF diversion in the form of an external ventricular drain may be beneficial to preserve neurologic function during treatment with antibiotics.
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