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[Case of bilateral subdural empyema complicating Campylobacter fetus subspecies fetus meningitis]

Seisaku Kanayama1, Kenji Ohnishi, Tadayoshi Yamaura

  • 1Department of Neurosurgery, Tokyo Metropolitan Bokutoh Hospital, Japan.

Brain and Nerve = Shinkei Kenkyu No Shinpo
|June 24, 2008
PubMed

Insights

Campylobacter fetus meningitis complicated by subdural empyema is rare. This case highlights a successful treatment of bilateral subdural empyema secondary to Campylobacter fetus meningitis.

Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Microbiology

Background:

  • Campylobacter fetus subspecies fetus (C. fetus) is an uncommon cause of meningitis.
  • Subdural empyema is a rare complication of bacterial meningitis.

Observation:

  • A 51-year-old male presented with meningitis and subsequent bilateral subdural empyema after head trauma.
  • Cerebrospinal fluid analysis revealed mononuclear pleocytosis and spiral-shaped gram-negative bacilli.
  • Initial brain CT scan showed no abnormalities.

Findings:

  • C. fetus was identified as the causative agent in cerebrospinal fluid, blood, and subdural empyema.
  • The patient developed bilateral subdural empyema, necessitating surgical drainage.
  • Infection of a chronic subdural hematoma led to subdural empyema formation.

Implications:

  • This case underscores the importance of considering C. fetus in meningitis, especially with subdural empyema.
  • Prompt antibiotic treatment and surgical intervention are crucial for favorable outcomes.
  • Highlights the potential for C. fetus to cause severe neurological complications like subdural empyema.

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