Our report is the first case series of SEA due to SD in a pediatric population described to date. Children with SD are at increased risk for SEA and usually develop this complication at a younger age compared to those with SEA without anatomical risk factors. They are also at increased risk for delayed diagnosis, concomitant meningeal involvement and long-term neurologic sequelae. The most significant variables influencing outcome are timely diagnosis and surgical intervention, followed by appropriate antibiotic administration.
Regev et al. (Wed,) studied this question.