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Subdural empyema as a complication of odontogenic maxillary sinusitis. Empiema subdural secundario a sinusitis maxilar de origen odontógeno. N. Palomo. DOI: / Subdural empyema as a complication of odontogenic maxillary sinusitis. Empiema subdural secundario a sinusitis maxilar . Se presenta un caso de recidiva de infección postquirúrgica en forma de empiema subdural por Proprionibacterium acnes tras un primer empiema drenado en.

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Facing the suspicion of a possible neurological complication of the sinusitis, cranial computer aided tomography CAT was carried out, with right empiemx subdural empyema observed. In postoperative and posttraumatic infections, the most frequently isolated agents are Staphylococcus aureus and coagulase negative Staphylococcus 1.

Bacterial or occasionally fungal infection of the skull bones or air sinuses can spread to the subdural space, producing a subdural empyema. Support Radiopaedia and see fewer ads. Currently, the vaccine has drastically reduced the number of cases 12. Acute bacterial sinusitis in children: The patient was transferred to neurosurgery and received antibiotic therapy consisting of Meropenem, Vancomycin, and Metronidazole and was discharged after 17 days in the hospital.

Five days later high fever and a major headache persisted, and were aggravated by nausea, vomiting, four days of paresthesia and weakness in the inferior left limb. Meningitis and shunt infection caused by anaerobic bacteria in children. The medical protocol for treating an infection caused by Peptostreptococcus sp.

Subdural empyemas typically resemble subdural hematomas in their shape and the relationship to sutures and dural reflections. Subdural empyema as a complication of odontogenic maxillary sinusitis. Further, a thrombophlebitis may develop in the bridging veins that cross the subdural space, resulting in venous occlusion and infarction of the brain.


Am J Med Sci. A year-old female patient with no previous referred diseases complained of a one-week persistent cephalalgia that was diagnosed at a hospital in Cerro de Pasco, Peru. Finegoldia magna formerly Peptostreptococcus magnus: Furthermore, the content of the collection will typically demonstrate restricted diffusion see case 1. The report emphasizes the correct clinical valuation of pharyngitis as a risk factor for developing subdural empyema in children.

The reason for using a triplet antibiotic was based on the characteristics of the broad spectrum of antibiotics against the bacteria and the unknown etiological agent at the time of treatment.

We present the case of 9 year old male referred to the A and E service with right ocular proptosis and progressive migraine in the context of a sinusitis diagnosed two days earlier by compatible clinical and radiological tests, and receiving treatment with amoxicillin-clavulanic acid.

It is a empiea clinical condition, accompanied by a higher morbidity and mortality if not diagnosed and treated early 1. On the sheet stained with Gram containing the purulent fluid that was obtained after craniectomy, one could observe typical Gram-positive cocci of Peptostreptococcus sp. Neuroradiologic diagnosis of subdural empyema and CT limitations.

Subdural empyema | Radiology Reference Article |

An abscess that has led to an intracranial subdural empyema as seen on CT. Periodical magnetic resonances were carried out, which showed a clear improvement up until the complete resolution of the empyema.

The patient evolved favourably with a progressive disappearance of the symptoms. A report of four cases all leading to blindness.

Empiema subdural secundario a sinusitis.

Subdural empyema secondary to sinusitis. The patient was then transferred to the Pediatric Intensive Care Unit where she received postoperative care and progressed favorably; the drainage was removed and evidence of recuperation reached a 15 point in the Glasgow scale without motor or sensory impairment.


In contrast, the culture is more sensitive and reported better results in the identification of the etiological agent compared to the sheet reading. As previously described in many cases, it can lead to a fatal infection at this stage 310 The subdural empyema diagnosis was based on a right frontoparietal decompressive craniectomy, and a stressed subdural empyema evaluation, continuous irrigation.

Quraishi H, zevallos JP. Synonyms or Alternate Spellings: A surrounding membrane that enhances intensely and uniformly following contrast administration is typical. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. It is important to note that Peptostreptococcus sp. Sinogenic intracranial empyema in children. Treatment of ESD is medical and surgical; medically, it consists of using broad-spectrum antibiotics, like third-generation cephalosporins, carbapenems and metronidazole 18 – 20more efficient to treat aerobic agents than aerobic ones, during three to four weeks post-surgical drainage.

You can sjbdural the settings or obtain more information by clicking here. Services on Demand Journal. Anaerobic meningitis due to Peptostreptococcus species: Specific PCR detection of Peptostreptococcus magnus. Subdural empyema is uncommon but nonetheless can account for a significant number of intracranial infections.

Subdural empyema

To quiz yourself on this article, log in to see multiple choice questions. Although the use of contrast is ideal, the computed axial tomography TAC without contrast is a great instrument for diagnosing initial subdural empyema as observed empiena this study 1. Images in Intensive Medicine. Intracranial complications of sinusitis in children and adolescents and their outcomes.