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Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Subdural collections due to non-typhi Salmonella infections in two Malaysian children
H I Intan1, C D Zubaidah, A Norazah
1Department of Paediatrics, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang 43400, Malaysia. ihakimah@yahoo.com
Abstract:
Subdural collections caused by Salmonella infection are rarely encountered in children. We present two cases caused by non-typhi Salmonella, one a four-and-a-half-month-old boy presenting with subdural effusion, and the other, a 16-month-old boy with empyema. The diagnosis was confirmed on blood and subdural pus cultures. One patient had status epilepticus following focal fit, and the other had prolonged fever without any localising signs of infection on admission. They responded well to prompt surgical drainage and prolonged systemic antibiotic therapy. Contrary to previous reports, both patients showed favourable outcome in terms of neurological sequelae.
Insights
Subdural collections from non-typhi Salmonella are rare in children. Prompt surgical drainage and antibiotics led to favorable outcomes in two pediatric cases, challenging previous reports on neurological sequelae.
Area of Science:
- Pediatric Infectious Diseases
- Neuroscience
- Microbiology
Background:
- Subdural collections secondary to Salmonella infection are uncommon in pediatric populations.
- Non-typhi Salmonella serotypes are increasingly recognized as potential pathogens in invasive pediatric infections.
Observation:
- Two pediatric cases of subdural collections caused by non-typhi Salmonella are presented: one with subdural effusion and another with empyema.
- Clinical presentations varied, including status epilepticus and prolonged fever without localizing signs.
Findings:
- Diagnosis was confirmed via blood and subdural pus cultures.
- Both patients demonstrated positive responses to surgical drainage and extended systemic antibiotic treatment.
- Contrary to prior literature, both cases achieved favorable neurological outcomes.
Implications:
- Highlights the importance of considering non-typhi Salmonella in pediatric subdural infections.
- Suggests that prompt intervention, including surgical management and antibiotics, can lead to favorable neurological outcomes.
- Warrants further investigation into the pathogenesis and management of Salmonella-associated subdural collections in children.
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