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Temporal Bone Findings in Pneumococcal Meningitis

Temporal Bone Findings in Pneumococcal Meningitis Abstract Temporal bones were studied in five cases of acute pneumococcal meningitis. All patients had purulent labyrinthitis bilaterally. In addition, two temporal bones from one patient showed a hematogenous spread of the disease. Destruction of the stria vascularis and massive hemorrhage within the cochlear duct were observed. This was probably caused by the vascular affinity of the pneumococci at the time of persistent pneumococcal bacteremia. The findings suggest the existence of primary bacterial endolymphatic involvement, caused by the destruction of labyrinthine vessels. References 1. Schwartz MN, Dodge PR: Bacterial meningitis: A review of selected aspects . N Engl J Med 272:725-731, 779-787, 842-848, 898-902, 954-960, and 1003-1010, 1965.Crossref 2. Waring GW, Weinstein L: Treatment of pneumococcal meningitis . Am J Med 5:402-418, 1948.Crossref 3. Lindsay JR, Hemenway WG: Inner ear pathology due to measles . Ann Otol Rhinol Laryngol 63:754-771, 1954. 4. Lindsay JR, Davey PR, Ward PH: Inner ear pathology in deafness due to mumps . Ann Otol Rhinol Laryngol 69:918-935, 1960. 5. Hemenway WG, Bergstrom L: The pathology of acquired viral endolabyrinthitis , in McConnell F, Ward PH (eds): Deafness in Childhood . Nashville, Tenn, Vanderbilt University Press, 1967. 6. Lindsay JR: Sudden deafness due to virus infection . Arch Otolaryngol 69:13-18, 1959.Crossref 7. Paparella MM, Sugiura S: The pathology of suppurative labyrinthitis . Ann Otol Rhinol Laryngol 76:554-586, 1967. 8. Blackley B, Friedmann I, Wright I: Herpes zoster auris associated with facial nerve palsy and auditory nerve symptoms . Acta Otolaryngol (Stockh) 63:533-550, 1967.Crossref 9. Turner AL, Fraser JS: Labyrinthitis, a complication of middle ear suppuration: A clinical and pathological study . J Laryngol Otol 43:609-644, 1928.Crossref 10. Druss JG: Pathways of infection in labyrinthitis: Report of three different types . Arch Otolaryngol 9:392-403, 1929.Crossref 11. Crowe SJ: Pathologic changes in meningitis of the internal ear . Arch Otolaryngol 11:537-568, 1930.Crossref 12. Perlman HB, Lindsay JR: Relation of the internal ear spaces to the meninges . Arch Otolaryngol 29:12-23, 1939.Crossref 13. Igarashi M, Schuknecht HF: Pneumococcic otitis media, meningitis, and labyrinthitis: A human temporal bone report . Arch Otolaryngol 76:126-130, 1962.Crossref 14. Schuknecht HF, Montandon P: Pathology of the ear in pneumococcal meningitis . Arch Klin Exp Ohren Nasen Kehlkopfheilkd 195:207-225, 1970.Crossref 15. Meyer, cited by Fraser JS: Acute suppurative otitis media, purulent labyrinthitis, and leptomeningitis without rupture of the tympanic membrane . J Laryngol Otol 29:284-303, 1914.Crossref 16. Druss JG: Labyrinthitis secondary to meningococcic meningitis . Arch Otolaryngol 24:19-28, 1936.Crossref 17. Altmann F, Waltner JG: Labyrinthitis due to pneumococcus type III: Histopathologic studies . Arch Otolaryngol 40:75-91, 1944.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1974.00780030085001
Publisher site
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Abstract

Abstract Temporal bones were studied in five cases of acute pneumococcal meningitis. All patients had purulent labyrinthitis bilaterally. In addition, two temporal bones from one patient showed a hematogenous spread of the disease. Destruction of the stria vascularis and massive hemorrhage within the cochlear duct were observed. This was probably caused by the vascular affinity of the pneumococci at the time of persistent pneumococcal bacteremia. The findings suggest the existence of primary bacterial endolymphatic involvement, caused by the destruction of labyrinthine vessels. References 1. Schwartz MN, Dodge PR: Bacterial meningitis: A review of selected aspects . N Engl J Med 272:725-731, 779-787, 842-848, 898-902, 954-960, and 1003-1010, 1965.Crossref 2. Waring GW, Weinstein L: Treatment of pneumococcal meningitis . Am J Med 5:402-418, 1948.Crossref 3. Lindsay JR, Hemenway WG: Inner ear pathology due to measles . Ann Otol Rhinol Laryngol 63:754-771, 1954. 4. Lindsay JR, Davey PR, Ward PH: Inner ear pathology in deafness due to mumps . Ann Otol Rhinol Laryngol 69:918-935, 1960. 5. Hemenway WG, Bergstrom L: The pathology of acquired viral endolabyrinthitis , in McConnell F, Ward PH (eds): Deafness in Childhood . Nashville, Tenn, Vanderbilt University Press, 1967. 6. Lindsay JR: Sudden deafness due to virus infection . Arch Otolaryngol 69:13-18, 1959.Crossref 7. Paparella MM, Sugiura S: The pathology of suppurative labyrinthitis . Ann Otol Rhinol Laryngol 76:554-586, 1967. 8. Blackley B, Friedmann I, Wright I: Herpes zoster auris associated with facial nerve palsy and auditory nerve symptoms . Acta Otolaryngol (Stockh) 63:533-550, 1967.Crossref 9. Turner AL, Fraser JS: Labyrinthitis, a complication of middle ear suppuration: A clinical and pathological study . J Laryngol Otol 43:609-644, 1928.Crossref 10. Druss JG: Pathways of infection in labyrinthitis: Report of three different types . Arch Otolaryngol 9:392-403, 1929.Crossref 11. Crowe SJ: Pathologic changes in meningitis of the internal ear . Arch Otolaryngol 11:537-568, 1930.Crossref 12. Perlman HB, Lindsay JR: Relation of the internal ear spaces to the meninges . Arch Otolaryngol 29:12-23, 1939.Crossref 13. Igarashi M, Schuknecht HF: Pneumococcic otitis media, meningitis, and labyrinthitis: A human temporal bone report . Arch Otolaryngol 76:126-130, 1962.Crossref 14. Schuknecht HF, Montandon P: Pathology of the ear in pneumococcal meningitis . Arch Klin Exp Ohren Nasen Kehlkopfheilkd 195:207-225, 1970.Crossref 15. Meyer, cited by Fraser JS: Acute suppurative otitis media, purulent labyrinthitis, and leptomeningitis without rupture of the tympanic membrane . J Laryngol Otol 29:284-303, 1914.Crossref 16. Druss JG: Labyrinthitis secondary to meningococcic meningitis . Arch Otolaryngol 24:19-28, 1936.Crossref 17. Altmann F, Waltner JG: Labyrinthitis due to pneumococcus type III: Histopathologic studies . Arch Otolaryngol 40:75-91, 1944.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Feb 1, 1974

References