Case: A boy of 2 months with congenital hydrocephalus, Meningomyelocele and incidental diagnosis of Pyogenic Meningitis

A boy of 2 months presented admitted to the Hospital with increasing head size and a swelling on the back at the lumber region.
The patient is normally delivered and there was no history of perinatal insult.

On examination, OFC was 43 cm, anterior fontanelle was wide open, no sun set sign, no papilloedema,

Reflexes were normal, no paraplegia, no bladders or bowel involvement. US confirms the ventricular dilatation.

The patient was operated to institute V-P Shunt. During operation, ventricular fluid was collected and studied and incidentally CSF was found to have pus cell- 7600/cmm, sugar-10.6mg/dl, Protein 430.6 mg/dl., Xray chest and Electrolytes normal.

So the patient is labeled as Congenital Hydrocephalus with Meningomyelocele with Pyogenic Meningitis.

After incidental diagnosis of Meningitis, the patient is sent our special care unit. He is now under antibiotic coverage for meningitis and is slowly improving.

We have a plan to do the CT scan to exclude any intracranial malformation.


Dr. Badrud Doza

Dr. Fahim