Abstract
Although disorders of ADH secretion associated with meningitis are usually consistent with the Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH), central diabetes insipidus (DI) is an exceptional complication of meningitis. Transient DI as a complication of Escherichia coli (E. coli) meningitis due to ventriculoperitoneal shunt in an 18-month-old boy is presented. Blood and spinal fluid cultures yielded E. coli, sensitive to cefotaxime. The DI arose on the day 3 after admission and continued to the day 20. Treatment comprised cefotaxime, dexamethasone, fluid adjustment and vasopressin. The course of our case supports that in cases of bacterial meningitis, initial fluid restriction may occasionally result in dangerous conditions. Therefore, all children with bacterial meningitis should be followed closely not only in terms of SIADH but also DI. To our knowledge this is the first transient DI associated with E. coli-caused meningitis case reported.
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References
Angelo M.D. Diabetes Insipidus. In: Nelson W.E., Behrman R.E., Kligman R.M., Arvin A.M. Nelson Textbook of Pediatrics, ed. 15. WB Saunders Co, Philadelphia, 1996, p. 724–729.
Ronald W.G. Endocrine and Metabolic Disorders. In: Merenstein G.B., Kaplan D.W., Rosengerg A.A. Handbook of Pediatrics, ed. 16 Prentice-Hall International Inc, Colorado, 1991, p. 813–816.
Christensen C., Bank A. Meningococcal meningitis and diabetes insipidus. Scand. J. Infect. Dis. 1988, 20: 341–343.
Sloane A.E. Transient diabetes insipidus following listeria meningitis. Ir. Med. J. 1989, 82: 132–134.
Laine J., Holmberg G., Anttila M., Peltola H., Perheentupa J. Types of fluid disorder in children with bacterial meningitis. Acta Paediatr. Scand. 1991, 80: 1031–1036.
Lam K.S., Sham M.M., Tam S.C., Ng M.M., Ma H.T. Hypopituitarism after tuberculous meningitis in childhood. Ann. Intern. Med. 1993, 118: 701–7106.
MacGilvray S.S., Billow M. Diabetes insipidus as a complication of neonatal group B streptococcal meningitis. Pediatr. Infect. Dis. J. 1990, 9: 742–743.
Pan C.H., Wang H.Z., Hsieh K.S., Liu Y.C. Alcaligenes xylosoxidans neonatal meningitis: a case report. Chung Hua I Hsueh Tsa Child Taipei. 1996, 57: 301–304.
Stamos J.K., Kaufman B.A., Yogev R. Ventriculoperitoneal shunt infections with gram-negative bacteria. Neurosurgery 1993, 33: 858–862.
Kontny U., Hofling B., Gutjahr P., Voth D., Schwarz M., Schmitt H.J. CSF shunt infections in children. Infection 1993, 21: 89–92.
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Kabakus, N., Yilmaz, B., Aydinoğlu, H. et al. Transient diabetes insipidus following Escherichia coli meningitis complicated by ventriculoperitoneal shunt. J Endocrinol Invest 22, 800–802 (1999). https://doi.org/10.1007/BF03343647
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DOI: https://doi.org/10.1007/BF03343647