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

Autumn S. Kiefer, Priyanka Gupta, Salman Kirmani, Kara Schwartz, Nancy Henry, Philip R. Fischer

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)547-549
Number of pages3
JournalPediatric Infectious Disease Journal
Volume28
Issue number6
DOIs
Publication statusPublished - Jun 2009
Externally publishedYes

Keywords

  • Currarino syndrome
  • Currarino triad
  • Fistula
  • Meningitis
  • Parameningeal focus

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