Challenges in the Management of Intracranial Subdural Empyema

Rapidly progressing interhemispheric subdural empyema showing a three-fold increase in size within 12 hours: Case report

“…[279] History of trauma and cranial operations involving sinuses are other causes of subdural empyema. Subdural empyema should be considered in patients who have a history of meningitis, otolaryngeal infections, trauma, and cranial operations because they are predisposing factors for the development of subdural empyema.…”

“…A broad-spectrum antibiotic regime was administered to our patient following surgery. [26710] Because there was no microbial yield in cultures of our case, ceftriaxone, vancomycin, and metronidazole were administered empirically to cover both aerobic and anaerobic pathogens.…”

“…Rapid diagnosis and management are very crucial in subdural empyema because timely diagnosis and management give the patient a chance of full recovery with little or no neurological impairment. [26] On the other hand, delayed establishment of the diagnosis may result in a dramatical outcome. In our case, the diagnosis was made early in time and rapid progression was detected on second cranial CT.…”

Subdural Empyema Complicating Sinusitis

“…The similarity of presenting symptoms with sinusitis itself may make it difficult to distinguish initially. These patients are usually diagnosed as having an upper respiratory tract infection and are treated with antipyretics and analgesic with or without antibiotics (25).…”

Enhanced Culture Detection of Citrobacter Koseri From Cerebrospinal Fluid in BacTec

“…[5][6][7][8] This procedure may require catheter lock for 12-24 hours; this may not feasible in patients who need daily TPN. [5][6][7][8] This procedure may require catheter lock for 12-24 hours; this may not feasible in patients who need daily TPN.…”