Status Epilepticus with Fever in a Toddler with Pyogenic Meningitis Due to Complicated Acute Sphenoid Sinusitis

Jay Pershad, MD; Lexi Crawford, MD; Diego Preciado, MD; Dana Harrar, MD; Jose Molto, MD; Craig Shapiro, MD

Journal of Pediatrics: Clinical Practice (Dec 2024)

Status Epilepticus with Fever in a Toddler with Pyogenic Meningitis Due to Complicated Acute Sphenoid Sinusitis

Jay Pershad, MD,
Lexi Crawford, MD,
Diego Preciado, MD,
Dana Harrar, MD,
Jose Molto, MD,
Craig Shapiro, MD

Affiliations

Jay Pershad, MD: Division of Emergency Medicine, Department of Pediatrics, Children's National Hospital, The George Washington School of Medicine and Health Sciences, Washington, DC; Reprint requests: Jay Pershad, MD, Department of Emergency Services, Children's National Hospital, 111 Michigan Ave, Washington, DC 20010.
Lexi Crawford, MD: Division of Critical Care, Department of Pediatrics, Children's National Hospital, The George Washington School of Medicine and Health Sciences, Washington, DC
Diego Preciado, MD: Division of Otolaryngology, Department of Pediatrics, Children's National Hospital, The George Washington School of Medicine and Health Sciences, Washington, DC
Dana Harrar, MD: Division of Neurology, Department of Pediatrics, Children's National Hospital, The George Washington School of Medicine and Health Sciences, Washington, DC
Jose Molto, MD: Division of Neuroradiology, Department of Pediatrics, Children's National Hospital, The George Washington School of Medicine and Health Sciences, Washington, DC
Craig Shapiro, MD: Division of Infectious Disease, Department of Pediatrics, Children's National Hospital, The George Washington School of Medicine and Health Sciences, Washington, DC

Journal volume & issue: Vol. 14
p. 200123

Abstract

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We present a toddler with acute sphenoid sinusitis presenting as status epilepticus with fever, intracranial abscess and meningitis. Cerebrospinal fluid analysis suggested bacterial meningitis, but polymerase chain reaction test was positive for human herpes virus 6. We highlight diagnosis and treatment of this uncommon condition.

Published in Journal of Pediatrics: Clinical Practice

ISSN: 2950-5410 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Pediatrics
Website: https://www.sciencedirect.com/journal/the-journal-of-pediatrics-clinical-practice

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