Cranioencephalic complications of bacterial sinusitis in children and adolescents: Eight cases in Libreville (Gabon)

Miloundja, Jérôme; Bamba, J.; Mouba, John Florent; Ondo, Thimothée Ella; Mwanyombet, Lucien; Lawson, J. M. Mandji; N'Zouba, L.

doi:10.1684/san.2011.0275

Cited by 5 publications

(7 citation statements)

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“…Neurosurgical drainage combined with antibiotic therapy including ceftriaxone, gentamycin and metronidazole was instituted in our 3 patients as reported by Passeron H et al [1] in their study. None of our children had sinus drainage contrary to the study of Miloundja [7] et al who performed this intervention in 2 out of 5 children in their study. The post-operative period was calm in all three of our children.…”

Section: Discussioncontrasting

confidence: 77%

“…They were all boys. This male predominance was reported by most of the authors, including Passeron H et al [1] and Miloundja J et al [7] who reported a sex ratio of 3 and 1.6 in favour of boys, respectively. Fever, headache and hemiplegia were their reasons for hospitalization.…”

Section: Discussionsupporting

confidence: 64%

“…Intracranial suppuration is predominant in children in developing countries. This predominance is related to the unfavorable socio-economic conditions in these countries where rapid access to specialized care is not the most common [6] [7].…”

Section: Introductionmentioning

confidence: 99%

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Endocranial Suppurations of Sinus Origin: Ratio of 3 Cases in Children at the Hospital in Mali

Kané¹,

Diallo²,

Traoré³

et al. 2021

OJPed

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Introduction: Intracranial suppurations are neoformed purulent collections including, in decreasing order, cerebral abscesses, subdural empyemas and extradural empyemas. Otorhinolaryngologic infections are one of the main causes, especially in older children and adolescents. We report 3 clinical cases of endocranial suppurations treated at the Mali Hospital. Clinical Cases: 1) Observation 1. IK was a 14-year-old boy, who was hospitalized in our department for fever, headache and left hemiplegia. The emergency brain scan showed a right frontal and interhemispheric subdural empyema associated with multifocal sinusitis. Surgical drainage associated with ceftriaxone: 100 mg/Kg/d in direct intravenous (DI), metronidazole: 10 mg/Kgs/12hours in slow intravenous (SI) for 15 days, gentamycin: 3 mg/Kgs/d in SI for 3 days, paracetamol 15 mg/Kgs/6hours in SI, 10% glucose serum: 100 ml/Kg/d were given. The bacteriological analysis of the pus came back sterile. The postoperative period was calm. 2) Observation 2. This was a 14-year-old boy with a history of headaches who was admitted to our department for left hemiplegia. An emergency brain scan showed a right pre-suppurative encephalitis associated with a right fronto-ethmoidal and maxillary sinusitis. He was put on ceftriaxone 100 mg/kg/d in DI for 21 days, gentamycin: 3 mg/Kg/d in SI for 3 days; metronidazole: 10 mg/kg/12hours in SI for 21 days, paracetamol: 15 mg/kg/6hours in SI. After 3 weeks of medical treatment, a follow-up brain scan revealed an interhemispheric and right subdural empyema. Surgical drainage was associated with the triple antibiotic therapy initially instituted. The bacteriological analysis of the pus was sterile. The postoperative course was calm. 3) Observation 3. N.

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Section: Discussioncontrasting

confidence: 77%

Section: Discussionsupporting

confidence: 64%

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Endocranial Suppurations of Sinus Origin: Ratio of 3 Cases in Children at the Hospital in Mali

Kané¹,

Diallo²,

Traoré³

et al. 2021

OJPed

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“…Staphylococcus aureus was isolated in the pus of the abscess after drainage in our patient. The same pathogen has been isolated by others notably by B.S Benjelloun-Dekhama et al [11] who isolated it from 3 children, H. Passeron et al [3] from 2 children and Jérôme et al [9] from one child. In the earliest work, Staphylococcus aureus was the most frequently encountered germ [7].…”

Section: Discussionmentioning

confidence: 53%

“…Our clinical case is an intracranial suppuration (abscess and cerebral empyema) complicating an untreated pan sinusitis in an 11 year old teenager. The high frequency of intracranial suppuration in this age category has been described by most authors, notably by Jérôme Meloundja et al [9] who found an average age of 13 years in his study carried out at the Omar Bongo Odimba Army Training Hospital. In our patient the clinical diagnosis was based on the classic clinical symptomatology of brain abscesses described in the literature: fever, headache, vomiting and hemiplegia [2,7].…”

Section: Discussionmentioning

confidence: 53%

Cerebral abscess and empyema complicating pansinusitis in an 11-year-old child: report of a case to the pediatrics of the Mali Hospital

KanéB¹,

TouréB.M

K.W³

et al. 2020

IJND

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Introduction: Brain abscess is an intracranial suppuration producing a newly formed cavity. Otorhinolaryngological infections are one of the main causes. We report a case of cerebral abscess and empyema complicating pansinusitis in an 11-year-old adolescent treated at the Mali Hospital. Observation: He was an 11-year-old adolescent with a history of chronic headache who was admitted for left hemiplegia. The onset dates back to around 15 days marked by an unquantified fever, headache and then coma. A brain scan performed during hospitalization revealed a brain abscess and empyema, hence its reference to the Mali Hospital. At the entrance he had a fever of 38.5 ° C and a poor general condition. He was aware, well oriented and consistent. He had flaccid left hemiplegia with preservation of peripheral sensitivity. Cardiorespiratory examination and oto-rhinolaryngological were normal. Surgical drainage associated with medical treatment including ceftriaxone 100 mg/kg/d direct intravenous for 15 days, gentamycin; 3 mg/kg/d intramuscular for 3 days, metronidazole : 10 mg/kg /12 hours intravenously slowly for 15 days, paracetamol: 15 mg/kg /6 hours intravenously slowly, glucose serum 10%: 100 ml/kg /day infused and red blood cell concentrate group O+: 20 ml/Kg intravenously slowly have been introduced. The relay was done with ciprofloxacin 10mg/Kg/12 hours for 6 weeks by oral route. The postoperative follow-up was simple. He was discharged on the 15th day of hospitalization. Conclusion: Intracranial complications of sinusitis are serious and common in children in developing countries. The brain scanner is an indispensable tool for its diagnosis. Management is multidisciplinary. Prophylaxis is based on the correct treatment of otorhinolaryngological and oral infections.

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Pott's puffy tumor on an exceptional clinical case: review of the literature

Sanogo

Diarra²,

Konate³

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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Pott's tumor or Pott's puffy tumor or osteomyelitis of the frontal bone is a rare clinical presentation. It usually occurs as a complication of trauma to the frontal region, frontal sinusitis or by blood-borne spread, the infection can also spread inwards leading to an intracranial abscess. This is a 04-month-old, 7 kg infant with left frontal swelling with ipsilateral orbital extension. This swelling had been evolving for approximately 1 month. The computed tomography showed a hypodensity of liquid in the left fronto-orbital subcutaneous topography with an intense annular parietal enhancement in the arterial and late stages. Treatment consisted of surgical drainage under general anesthesia. We made the incision via the left pterional approach and undermining up to the frontal bone. From the pus about 40 cc then we proceeded to the debridement of necrotic tissues and curettage of the frontal bone which was lysed in places. The germ found was Burkhoderia pseudomallei gram-negative bacillus sensitive to C3G. Pott's tumor is a rare complication most often from untreated or poorly treated frontal sinusitis. This lack of knowledge raises fears of an evolution towards intracranial complications that could be life-threatening for patients.

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Cranioencephalic complications of bacterial sinusitis in children and adolescents: Eight cases in Libreville (Gabon)

Cited by 5 publications

References 0 publications

Endocranial Suppurations of Sinus Origin: Ratio of 3 Cases in Children at the Hospital in Mali

Endocranial Suppurations of Sinus Origin: Ratio of 3 Cases in Children at the Hospital in Mali

Cerebral abscess and empyema complicating pansinusitis in an 11-year-old child: report of a case to the pediatrics of the Mali Hospital

Pott's puffy tumor on an exceptional clinical case: review of the literature

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