Meningitis as a complication of tonsillectomy.

Autor: Papadakis CE; Department of Otolaryngology, University of Crete School of Medicine, Heraklion, Greece., Nikolidakis AA, Bizakis JG, Skoulakis CE, Velegrakis GA, Kokori HG, Helidonis ES
Jazyk: angličtina
Zdroj: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 1998 Oct 15; Vol. 45 (3), pp. 243-7.
DOI: 10.1016/s0165-5876(98)00096-2
Abstrakt: Adenotonsillar surgery remains among the most commonly-performed pediatric surgical procedures. The complication rate of tonsillectomy is generally considered to be in a range of 1-5%. Bacterial meningitis following adenotonsillectomy is a rarely reported complication. Bacterial meningitis is a potentially fatal acute infectious disease caused by a variety of micro-organisms. Current case fatality rates associated with this entity can be as low as 2% in infants and children and as high as 30% in neonates. The successful management of meningitis depends on early clinical suspicion and diagnosis, with prompt medical treatment using high-dose, broad-spectrum antibiotics that adequately cross the blood-brain barrier. We present a case of meningitis complicating a tonsillectomy procedure, in a 7-year-old girl. The diagnosis and treatment of this rare complication is illustrated, and the possible etiology is discussed.
Databáze: MEDLINE