Clinical features of 10 patients with SDE
| Patient (No)/ Sex/Age | Source of Infection | Clinical Findings at Admission*/Duration, d | WBC Count, ×103/dL | Pathogen | Treatment |
|---|---|---|---|---|---|
| 1/M/4 mo | Meningitis | Fever; irritability; stiff neck/15 | 4.4 | Escherichia coli (CSF) | Antibiotics, burr hole drainage |
| 1/M/14 y | Sinusitis S, E, M | Fever; swollen, painful L eye/4 | 12.6 | Moraxella species (sinus) | Antibiotics, FESS, orbital drainage |
| 3/F/13 y | Sinusitis F, S, E, M | Fever; headache; slurred speech, R extremity weakness/14 | 17.4 | Group A Streptococcus (subdural collection) | Antibiotics, Craniotomy |
| 4/M/5 wk | Meningitis | Fever; vomiting/4 | 24.9 | Pasteurella multocida (CSF) | Antibiotics |
| 5/M/16 y | Sinusitis F, S, E, M | Fever; swollen, painful L eye, photophobia, impaired gaze; seizure/4 | 12.6 | Streptococcus milleri species (subdural collection) | Antibiotics, FESS, craniotomy, preseptal drainage |
| 6/M/13 y | Meningitis | Fever; hallucinations/4 | 30.6 | Peptostreptococcus anaerobius, Prevotella melaninogenica (CSF) | Antibiotics, FESS |
| 7/M/10 y | Right mastoiditis | Fever; headache; seizure/10 | 6.1 | Streptococcus equiinus, Micrococcus species (subdural collection) | Antibiotics, Craniotomy |
| 8/F/17 y | Sinusitis F | Fever; headache; L extremity weakness/3 | 13.4 | S milleri species (subdural collection) | Antibiotics, FESS, craniotomy |
| 9/F/8 y | Sinusitis S, E, M | Fever; seizure, R hemiparesis, R facial palsy/5 | 19.8 | Streptococcus mitis (blood) | Antibiotics, FESS, craniotomy |
| 10/M/13 y | Sinusitis F, S, E, M | Fever; headache; painful neck; photophobia/7 | 22.1 | Veillonella species, Propionibacterium granulosum (sinus) | Antibiotics, FESS, anticoagulants |
Note.—Patient 6 died; all others recovered. E indicates ethmoid; F, frontal; FESS, functional endoscopic sinus surgery; M, maxillary; and S, sphenoid.
* Systemic and neurologic signs.