فهرست نشریات علمی دسترسی آزاد ایران

Parenteral diarrhea due to infections outside the gastrointestinal tract is a well-known entity in pediatrics. We report a case where a child with invasive pneumococcal infection presented with parenteral diarrhea and later CSF rhinorrhea, revealing the underlying inner ear malformation. A 15-month-old male child with isolated language delay due to congenital hearing loss presented with pneumococcal septic shock following acute gastroenteritis. Two days later, CSF rhinorrhoea was noted. The Child was stabilised with intravenous fluids and antibiotic therapy. Computed tomography imaging revealed a congenital bony inner ear malformation (IEM). Recurrent meningitis can occur due to communication between IEM and the subarachnoid space. CSF otorrhoea presenting as rhinorrhoea can occur due to meningitis with raised intracranial pressure. Children presenting with invasive pneumococcal infection and sensorineural hearing loss should be evaluated for predisposing factors, such as cerebrospinal fluid leaks, which can unmask underlying inner ear abnormality.