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Abstract
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.
Highlights
Subdural empyema is a rare but terrible complication of meningococcal meningitis in children, which can be fatal
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
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
Summary
Subdural empyema is a rare but terrible complication of meningococcal meningitis in children, which can be fatal. Менингококковый менингит, осложненный субдуральной эмпиемой и эпидуритом у грудного ребенка При поступлении состояние ребенка расценено как тяжелое за счет токсикоза, гастроэнтероколита и обезвоживания. Назначен меронем внутривенно (по 40 мг/кг 3 раза в день), на фоне введения которого состояние ребенка стабилизировалось, отмечалась нормализация температуры тела, однако сохранялись умеренное выбухание и пульсация большого родничка.
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