Infratentorial subdural empyemas mimicking pyogenic meningitis
| Autor: | Anurag Gupta, Suman S Karanth, Ali S. Raja |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Chronic Suppurative Otitis Media Case Report lcsh:RC321-571 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Antibiotic therapy medicine subdural empyemas lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Subdural empyema medicine.diagnostic_test business.industry Lumbar puncture masquerading General Neuroscience pyogenic meningitis Treatment options medicine.disease Empyema Surgery Neurology (clinical) business Meningitis 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurosciences in Rural Practice, Vol 04, Iss 02, Pp 213-215 (2013) Journal of Neurosciences in Rural Practice |
| ISSN: | 0976-3155 0976-3147 |
| DOI: | 10.4103/0976-3147.112773 |
| Popis: | Infratentorial subdural empyema is an extremely rare condition which unfortunately mimics pyogenic meningitis in 75% of cases. While an ill‑planned lumbar puncture in these cases may be fatal, an inadvertent delay in treatment may be detrimental to the outcome for the patient. We present a case of a young boy with long standing history of chronic suppurative otitis media (CSOM) presenting with an infratentorial empyema with features suggestive of pyogenic meningitis. We also review the available literature to further define the condition in terms of clinical features, treatment options, and outcome. A misdiagnosis of this condition with failure to institute appropriate surgical intervention and antibiotic therapy is potentially life threatening. We highlight this rare condition which requires a high degree of suspicion especially in the presence of associated risk factors. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|