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BACKGROUND Spontaneous disappearance of an arachnoid cyst is very rare, particularly after suppurative meningitis. METHODS A 2-month-old boy with a high fever was diagnosed with suppurative meningitis by cerebrospinal fluid examination. Computed tomography disclosed a large arachnoid cyst in the left middle cranial fossa. Two months later, the meningitis was cured. The arachnoid cyst disappeared with long-term antibiotic therapy alone. CONCLUSIONS Although an infected arachnoid cyst may disappear with antibiotic treatment alone, careful observation and individualized patient management are essential.
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