@article{f292cc0fbfa849e3a9ad04a79c96e655,
title = "Surgically cured, relapsed pneumococcal meningitis due to bone defects, non-invasively identified by three-dimensional multi-detector computed tomography",
abstract = "A 43-year-old Japanese man presented with a history of bacterial meningitis (BM). He was admitted to our department with a one-day history of headache and was diagnosed with relapse of BM based on the cerebrospinal fluid findings. The conventional imaging studies showed serial findings suggesting left otitis media, a temporal cephalocele, and meningitis. Three-dimensional multi-detector computed tomography (3D-MDCT) showed left petrous bone defects caused by the otitis media, and curative surgical treatment was performed. Skull bone structural abnormalities should be considered a cause of relapsed BM. 3D-MDCT was useful for revealing the causal minimal bone abnormality and performing pre-surgical mapping.",
keywords = "Bone defect, Cephalocele, Pneumococcal meningitis, Relapsed bacterial meningitis, Three-dimensional computed tomography (3D-CT), Volume rendering CT",
author = "Takayoshi Akimoto and Akihiko Morita and Keiji Shiobara and Makoto Hara and Masayuki Minami and Katsunori Shijo and Yasuyuki Nomura and Shuntaro Shigihara and Hiroki Haradome and Osamu Abe and Satoshi Kamei",
note = "Publisher Copyright: {\textcopyright} 2016 The Japanese Society of Internal Medicine.",
year = "2016",
doi = "10.2169/internalmedicine.55.7299",
language = "English",
volume = "55",
pages = "3665--3669",
journal = "Internal Medicine",
issn = "0918-2918",
publisher = "Japanese Society of Internal Medicine",
number = "24",
}