Spontaneous Subdural Empyema Secondary To Escherichia Coli Infection: Case Report
Volume 4 - Issue 4, April 2020 Edition
[Download Full Paper]
Author(s)
Pantangco, J. O. , Alvarez, R. M., Delfino, J. M.
Keywords
Spontaneous Subdural Empyema, E. Coli, Urinary Tract Infection
Abstract
Subdural Empyema (SDE) is an uncommon intracranial infection commonly caused by staphylococcal or streptococcal infection via contiguous spread or intracranial surgery. This disease entity is not immediately considered in patients who develop a subdural lesion because of its non-specific clinical presentation and radiologic features. Our patient was managed initially as a spontaneous subacute subdural hematoma with concomitant E. coli urinary tract infection (UTI), and later treated as a case of E. Coli positive subdural empyema. Prompt diagnosis and adequate treatment is critical because SDE is a neurosurgical emergency associated with a high mortality.
References
[1]. Agrawal, Amit, et al. “A Review of Subdural Empyema and Its Management.†Infectious Diseases in Clinical Practice, vol. 15, no. 3, 2007, pp. 149–153.
[2]. Munusamy, Thangaraj et al. “Empyema Following Head Injury in an Elderly Patient; A Casr Report and Literature Review.†J Neurol Surg Rep 2015; 76:e79-e82
[3]. M.H. de Beer, A.P. van Gils, H. “Koppen. Mimics of subacute subdural hematoma in the EDâ€. Am. J. Emerg. Med., 31 (2013), pp. 1-3
[4]. Gormley WB, del Busto R, Saravolatz LD, et al. Cranial and intracranial bacterial infections. In: Youmans JR, eds. Neurological Surgery. 4th ed. Philadelphia, PA: WB Saunders Co; 1996;5:3191–3220.
[5]. Rojas-Medina, Luis Mariano, et al. “Spontaneous Subdural Empyema by Escherichia Coli: Case Report and Literature Review.†Enfermedades Infecciosas y MicrobiologÃa ClÃnica, vol. 34, no. 8, 2016, pp. 531–532.
[6]. B. R. Foerster, M. M. Thurnher, P. N. Malani, M. Petrou, F. Carets-Zumelzu & P. C. Sundgren (2007) Intracranial Infections: Clinical and Imaging Characteristics, Acta Radiologica, 48:8, 875-893.
[7]. Wong, A.M., et al. “Diffusion-Weighted MR Imaging of Subdural Empyemas in Children.†AJNR. Am J Neuroradiol 25: 1016-1021. 2004