Medical management of a cavum septi pellucidi et vergae abscess in an adult: Case report and review of the literature

Rijetki slučaj empijema cavum septi pellucidi i principi neurokirurškog zbrinjavanja

“…Li et al 6 state that antibiotic therapy included ampicillin and cefotaxime, while Saryyeva et al 11 prefer lindamycin and ceftriaxone. Ceftriaxone in combination with ciprofloxacin ear drops, due to accompanying otitis, was the therapy of choice in Rotman et al 12 In our case, the therapy of choice was meropenem with intravenous administration for five weeks, which in earlier studies proved to be a good form of monotherapy management of brain abscess. 13,14 Increase of intracranial pressure value and deterioration of the neurological status indicate surgical intervention.…”

“…The cause, according to López-Pćrez et al, 8 Mokgokong 9 and Abe et al, 10 was head trauma. Li et al 6 describes the development of empyema in preterm infants, while Saryyeva et al 11 and Rotman et al 12 mention previous sinusitis as a possible cause. In this case, empyema of CSP was formed due to meningitis or ventriculitis.…”

“…Antibiotic therapy enabled the treatment of meningitis and slowed down the clinical course of the disease causing the manifestation of empyema 21 days after hospitalization. Previous experience showed the diversity of bacterial agents: Streptococcus pneumoniae, 9,10,12 Staphylococcus epidermidis, 11 Acinetobacter baumanni, 8 Proteus mirabilis 6 and Klebsiella pneumoniae. 12 Tabele 1 Summary of literature review / Tablica 1.…”

“…Previous experience showed the diversity of bacterial agents: Streptococcus pneumoniae, 9,10,12 Staphylococcus epidermidis, 11 Acinetobacter baumanni, 8 Proteus mirabilis 6 and Klebsiella pneumoniae. 12 Tabele 1 Summary of literature review / Tablica 1. Sažetak pregleda literature…”

“…His neck was stiff, Kernig's sign was positive, but there was no neurological deficit. Laboratory tests showed inflammation: WBC 17.35×10 9 /L; RBC 3.70×10 12 /L; Hgb 93.6 g/dL; Hct 0.30 L/L; MCV 80.3 fL; MCH 25.3 pg; MCHC 31.5 g/dL; RDW 11.2%CV; PLT 320 ×10 9 /L; MPV 5.9 fL; Glucose 4.7 mmol/L; Urea 2.8 mmol/L; Creatinine 22 umol/L; AST 31 U/L; ALT 18 U/L; fibrinogen 6.79 g/L; CRP 0.090 g/L. The analysis of the sampled cloudy cerebrospinal fluid (CSF) showed 850 white cells (63% neutrophils), protein concentration 0.5 g/L, and the level of glucose 3.1mmol/L.…”