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Subdural empyema--an unusual presentation. A report on 2 cases
A B Chaudhari1, B S Ahluwalia, N Kumar
1Department of Neurosurgery and Neurology, Southeast Hospital, Cape Girardeau, Missouri.
South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|September 2, 1989
Summary
This study presents two unusual cases of subdural empyema, a serious brain infection. Prompt diagnosis and treatment are crucial for managing this potentially lethal condition, especially in patients with atypical symptoms.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Subdural empyema (SE) is a critical intracranial infection requiring prompt management.
- Understanding the diverse clinical presentations of SE is essential for timely diagnosis.
Observation:
- Two cases of SE exhibited atypical features, including an undetermined infection source, insidious onset, and indolent progression.
- Both patients had a history of steroid therapy, a potential contributing factor.
Findings:
- SE can present with subtle and non-specific symptoms, delaying diagnosis.
- Steroid therapy may influence the clinical course and presentation of SE.
Implications:
- A high index of suspicion is vital for diagnosing SE, particularly in cases with unusual presentations.
- Prompt and appropriate management, including surgical intervention and antimicrobial therapy, is critical for improving patient outcomes in SE.