Spontaneous sphenoid meningoencephalocele with sepsis.
Monica ShahMarco A Tadeo Bermúdez BorjasKaren B BrustPublished in: Proceedings (Baylor University. Medical Center) (2020)
Streptococci bacteremia is an unusual source of sepsis from spontaneous cerebrospinal fluid (CSF) rhinorrhea due to sphenoid meningoencephalocele. A spontaneous cause of CSF rhinorrhea should be on the differential along with trauma and congenital and neoplastic lesions. Moxifloxacin 400 mg daily for 2 weeks has a satisfactory CSF penetration to treat Streptococcus viridans bacteremia due to CSF rhinorrhea.