Abstract

Spinal Dermal Sinus and Sacral Endothelial Cyst with Recurrent Bacterial Meningitis: A Case Report and Systematic Review of the Literature

Highlights

  • Congenital dermal sinus is dermoid and epithelial cyst from skin tissue or epithelial tissue residue in the cranial cavity or intraspinal canal during embryonic development

  • Escherichia coli with Extended spectrum beta-lactamases (ESBL) (+) was confirmed in both double blood and cerebrospinal fluid (CSF) cultures, which was sensitive to carbapenems and amino glycosides

  • Repetitive studies, non-Chinese or English literature that cannot be analysis from the cases were excluded; we got 68 cases bacterial meningitis caused by sacral sinus

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Summary

Introduction

Congenital dermal sinus is dermoid and epithelial cyst from skin tissue or epithelial tissue residue in the cranial cavity or intraspinal canal during embryonic development. The entry of sinus is usually located in the occipital, back, waist midline skin, with hair hyperplasia, and sinus connect skin with nerve tissue which constitute the anatomical basis of infection of the nervous system. We report 1 case of recurrent bacterial meningitis caused by sacral sinus and sacral canal endothelial cysts. The related literatures are systematically searched and reviewed, which provide experience for the diagnosis and treatment of bacterial meningitis caused by congenital sinus

Case Presentation
Systematic Review of the Literature
Discussion
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