Treatment-resistant meningitis leading to the diagnosis of Currarino syndrome: A case report

Authors

Autumn S. Kiefer, Mayo School of Graduate Medical Education, United States
Priyanka Gupta, Mayo Medical School, United States
Salman Kirmani, Mayo School of Graduate Medical Education and Mayo Eugenio Litta Children’s Hospital, United StatesFollow
Kara Schwartz, Mayo School of Graduate Medical Education and Mayo Eugenio Litta Children’s Hospital, United States
Nancy Henry, Mayo School of Graduate Medical Education and Mayo Eugenio Litta Children’s Hospital, United States
Philip R. Fischer, Mayo School of Graduate Medical Education and Mayo Eugenio Litta Children’s Hospital, United States

Document Type

Case Report

Department

Paediatrics and Child Health

Abstract

A 20-day-old female infant developed fever. Sepsis evaluation revealed cerebrospinal fluid (CSF) pleocytosis and a modestly decreased CSF glucose. After 48 hours of broad-spectrum antibiotics, the infant remained febrile. Repeat CSF analysis showed increased pleocytosis and a very low glucose value. Subsequently, a rectothecal fistula and sacral abnormalities were found, leading to the diagnosis of Currarino syndrome. Parameningeal foci should be considered in treatment-resistant meningitis.

Comments

This work was published before the author joined Aga Khan University.

Publication (Name of Journal)

The Pediatric Infectious Disease Journal

Recommended Citation

Kiefer, A. S., Gupta, P., Kirmani, S., Schwartz, K., Henry, N., Fischer, P. R. (2009). Treatment-resistant meningitis leading to the diagnosis of Currarino syndrome: A case report. The Pediatric Infectious Disease Journal, 28(6), 547-549.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/1280