Related Experiment Video
Updated: Jun 17, 2026

Characterizing Salmonella Typhimurium-induced Septic Peritonitis in Mice
Published on: July 29, 2022
Chronic subdural empyema and cranial vault osteomyelitis due to Salmonella paratyphi A
P Bhooshan1, S Shivaprakasha, K R Dinesh
1Department of Microbiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala 682 026, India.
Abstract:
Intracranial infections, especially subdural empyema, due to salmonella are rare. Subdural empyema caused by Salmonella paratyphi A has been documented only once earlier in the literature. Hence, we report a case of subdural empyema and osteomyelitis of cranial vault due to S. paratyphi A. A 42- year-old male presented with headache and purulent discharge from right parietal burr hole wound site. Patient gave a history of head injury two years ago. He underwent burr hole evacuation of chronic subdural haematoma, excision of outer membrane and right parietal craniectomy. The cultures grew S. paratyphi A. Recovery was uneventful following surgical intervention and antibiotic therapy.
Insights
This case report details a rare intracranial infection, subdural empyema, caused by Salmonella Paratyphi A. The patient recovered after surgical treatment and antibiotics.
Area of Science:
- Infectious Diseases
- Neurosurgery
- Microbiology
Background:
- Intracranial infections are uncommon, with subdural empyema being a rare manifestation.
- Salmonella species, particularly Salmonella Paratyphi A, are infrequently implicated in causing subdural empyema.
- Previous literature documents only one prior case of subdural empyema attributed to Salmonella Paratyphi A.
Observation:
- A 42-year-old male presented with headache and purulent discharge from a burr hole wound site.
- The patient had a history of head trauma two years prior, followed by surgical intervention for a chronic subdural hematoma.
- Clinical examination revealed signs suggestive of a secondary infection at the surgical site.
Findings:
- Cultures from the purulent discharge and surgical site confirmed the presence of Salmonella Paratyphi A.
- The patient was diagnosed with subdural empyema and concurrent osteomyelitis of the cranial vault.
- Microbiological analysis identified Salmonella Paratyphi A as the causative agent.
Implications:
- This case highlights the potential for Salmonella Paratyphi A to cause severe intracranial infections, including subdural empyema and osteomyelitis.
- Early diagnosis and appropriate antibiotic therapy combined with surgical intervention are crucial for favorable outcomes.
- The findings underscore the importance of considering unusual pathogens in the differential diagnosis of intracranial infections, especially in patients with a history of trauma or neurosurgery.
Related Concept Videos
Brain Abscess l: Introduction
Cryptococcal Meningitis
Bacterial Meningitis I: Introduction
Reservoir of Infection
Bacterial Meningitis II: Pathophysiology
Bacterial Meningitis
