Spinal Dermal Sinus and Sacral Endothelial Cyst with Recurrent Bacterial Meningitis: A Case Report and Systematic Review of the Literature

Dan Yu¹, Meng Mao¹, Hui Zhou¹ and Liang Huang^2,3*

Received: December 21, 2017;   Published: January 05, 2018

DOI: 10.26717/BJSTR.2018.02.000633

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Abstract

Congenital dermal sinus is dermoid and epithelial cyst from skin tissue or epithelial tissue residue in the cranial cavity or intraspinal canal during embryonic development. The entry of sinus is usually located in the occipital, back, waist midline skin, with hair hyperplasia, and sinus connect skin with nerve tissue which constitute the anatomical basis of infection of the nervous system. We report 1 case of recurrent bacterial meningitis caused by sacral sinus and sacral canal endothelial cysts. Meanwhile, the related literatures are systematically searched and reviewed, which provide experience for the diagnosis and treatment of bacterial meningitis caused by congenital sinus.

Abbreviations: CRP: C-Reactive Protein; CT: Computed Tomography; CSF: Cerebro-Spinal Fluid; ESBL: Extended spectrum beta-lactamases; MRI: Magnetic resonance imaging

Introduction| Case Presentation| Systematic Review of the Literature| Discussion| References|