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Published on: June 8, 2017
Spontaneous subdural empyema in falciparum malaria: a case study
S Dwarakanath1, A Suri, A K Mahapatra
1Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.
Clinical History:
Malaria is one of the most common diseases in the tropical countries. Cerebral malaria is usually a diffuse symmetric encephalopathy with focal signs being unusual.
Methods:
We present a three-year old girl lapsing into unconsciousness following a seizure while undergoing treatment for malaria. Imaging revealed a large heterogenous density, left hemispheric acute subdural haematoma with brain herniation. Investigations revealed anaemia, thrombocytopenia and positive peripheral blood smear for falciparum malaria.
Results:
Treatment involved surgical evacuation of the clot and the associated subdural empyema, intravenous quinine and antibiotics.
Conclusion:
This is the second case report of spontaneous subdural empyema in complicated falciparum malaria and highlights a rare but surgically manageable complication.
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