An early diagnosis of Mondini-like dysplasia in the Emergency Department at the first episode of bacterial meningitis


Submitted: 25 May 2019
Accepted: 17 September 2019
Published: 17 October 2019
Abstract Views: 781
PDF: 352
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Authors

  • Jeong Ho Kang Department of Emergency Medicine, School of Medicine, Jeju National University, Jeju; Institute for Medical Science, Jeju National University, Jeju, Korea, Republic of. https://orcid.org/0000-0002-0108-0247
  • Sung Wook Song Department of Emergency Medicine, School of Medicine, Jeju National University, Jeju; Institute for Medical Science, Jeju National University, Jeju, Korea, Republic of. https://orcid.org/0000-0002-7056-6179
  • Sung Kgun Lee Department of Emergency Medicine, School of Medicine, Jeju National University, Jeju; Institute for Medical Science, Jeju National University, Jeju, Korea, Republic of.
  • Seo Young Ko Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea, Republic of.
  • Ji Hwan Bu Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea, Republic of.

Mondini-like dysplasia is a rare congenital inner ear malformation (IEM) and the most common anomaly associated with recurrent bacterial meningitis in children. Early diagnosis of Mondinilike dysplasia is crucial for preventing recurrent bacterial meningitis. We report a case of a 15-year-old girl with unrecognized Mondini-like dysplasia that was early diagnosed in the Emergency Department at the first episode of bacterial meningitis. Assessing hearing function in children who have their first episode of meningitis is crucial. Abnormal hearing test results are critical diagnostic findings that help to suspect an IEM. In addition, high-resolution computed tomography of the temporal bones is an excellent diagnostic tool for IEM.


Kang, J. H., Song, S. W., Lee, S. K., Ko, S. Y., & Bu, J. H. (2019). An early diagnosis of Mondini-like dysplasia in the Emergency Department at the first episode of bacterial meningitis. Emergency Care Journal, 15(3). https://doi.org/10.4081/ecj.2019.8306

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