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Research shows bacterial meningitis strains in children with CSF leakage differ, indicating new threats for treatment.
Bacterial meningitis in children with known CSF leakage is largely due to pneumococci and now mainly due to serotypes not included in PCV13. Only two cases of meningococcal meningitis were found and only for children with cochlear implant.
Levy et al. (2026) studied this question.