Recurrent bacterial meningitis caused by incomplete Type I inner ear malformation: A case report

Ibrain Pub Date : 2023-02-13 DOI:10.1002/ibra.12093
Zhong Luo, Piao Cao, Chun-Lin Zhang, Zu-Cai Xu, Ping Xu, Tao Liang
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Abstract

The incidence of incomplete partition Type I inner ear malformation is very low; therefore, bacterial meningitis caused by this malformation is also rare. Here, we report a case of such a patient. This case is a young female patient, who is 7 years old, began to have recurrent headaches, and after 5 years, also began to have chest and back pain. The doctor diagnosed meningitis, and the anti-infection treatment was effective. She was followed up annually and continued to have outbreaks repeatedly for 17 years, but the cause of repeated infection was not found. After a detailed diagnosis and treatment in our hospital, the patient was finally diagnosed with incomplete partition Type I inner ear malformation, resulting in repeated bacterial meningitis. The patient recovered well after surgical treatment, and the symptoms did not recur after 1-year follow-up.

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不完全I型内耳畸形导致的复发性细菌性脑膜炎:病例报告
不完全分隔 I 型内耳畸形的发病率非常低,因此由这种畸形引起的细菌性脑膜炎也非常罕见。在此,我们报告了这样一例患者。该病例是一名年轻女性患者,7 岁时开始反复头痛,5 年后开始出现胸痛和背痛。医生诊断为脑膜炎,抗感染治疗有效。每年都对她进行随访,17 年来一直反复发作,但没有找到反复感染的原因。在我院经过详细的诊断和治疗后,患者最终被确诊为不完全分区 I 型内耳畸形,导致反复细菌性脑膜炎。手术治疗后,患者恢复良好,随访 1 年后症状未再复发。
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