February 1976

Streptococcal Meningitis With an Unusual Port of Entry

Author Affiliations

From the Department of Pediatrics, Louisiana State University School of Medicine, Earl K. Long Memorial Hospital, Baton Rouge, La.

Am J Dis Child. 1976;130(2):214-215. doi:10.1001/archpedi.1976.02120030104021

• An 18-month-old boy developed meningitis due to group A β-hemolytic Streptococcus. Despite adequate antibiotic therapy with aqueous sodium penicillin G and chloramphenicol for more than eight weeks, he showed persistent abnormal spinal fluid findings, recurrent elevations of temperature, irritability, and poor feeding.

Further investigation revealed a congenital dermal sinus of the nose, with an entry into the anterior fossa that made a small opening intradurally at the level of the cribiform plate. Surgical removal of the entire sinus tract resulted in a speedy and complete recovery.

(Am J Dis Child 130:214-215, 1976)