Meningitis is the most common intracranial complication of sinusitis. Paranasal sinus CT scan had been performed in 65 cases with final diagnosis of meningitis. Cases were between 1 month to 16 years old (mean age of 4.2 y). 51% of the patients were male and 49% were female. Bacterial meningitis was diagnosed in 55.3% (36/65) and aseptic meningitis in 44.7% (29/65). Given that meningitis is the most common intracranial complication of sinusitis and bacterial meningitis is one of the most potentially serious infections in infants and older children which can be accompanied with a high rate of acute complications and long-term morbidity, an accurate and rapid diagnosis of acute bacterial meningitis is essential for early treatment and good outcome. Every child with documented meningitis and a complete set of para nasal sinuses` CT scan imaging entered our trial. Bacterial meningitis was diagnosed in the presence of clinical signs of meningitis alongwith positive CSF culture, positive blood culture Â±
CSF culture; or positive universal bacterial PCR of CSF with or without LPA test positive gram stain for bacteria in CSF.
Samileh Noorbakhsh, Paranasal Sinus CT Scan Changes in Children with Meningitis: A Cross Section Study, Tehran, IRAN
Last date updated on June, 2014