Cerebrospinal Fluid Otorrhea and Invasive Pneumococcal Meningitis in a Girl with Hyrtl′s Fissure: Case Report

Abstract

Cerebrospinal fluid (CSF) otorrhea due to congenital defects in the temporal bone is one of the risks of recurrent bacterial meningitis in children. We present a case of a six-year-old girl with Hyrtl′s fissure who was diagnosed on the basis of bacterial meningitis following otitis media. She did not experience any further meningitis or CSF leak after surgical closure. CSF otorrhea with congenital defects should be listed in the differential diagnosis of patients with bacterial meningitis in the post vaccine era.