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Subdural haematoma infected by chloramphenicol resistant salmonella typhi : a case report

N Khanna1, C R Ravi1, A Chandramuki1

  • 1Department of Medical Microbiology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore - 560029.

Neurology India
|March 16, 2018
PubMed

Insights

A rare case of chronic subdural hematoma infected by Salmonella Typhi in a 34-year-old woman was successfully treated. This Salmonella infection of the subdural space is uncommon, with only eight reported worldwide.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Microbiology

Background:

  • Chronic subdural hematoma (CSDH) is a collection of blood that can occur after head trauma.
  • Infections within a subdural hematoma are rare, especially those caused by bacteria like Salmonella.
  • Salmonella Typhi is primarily known for causing typhoid fever.

Purpose of the Study:

  • To report a rare case of chronic subdural hematoma infected by Salmonella Typhi.
  • To highlight the challenges in diagnosing and treating such infections.
  • To contribute to the limited literature on Salmonella-infected subdural hematomas.

Main Methods:

  • Case report of a 34-year-old female patient with a history of trauma.
  • Identification of Salmonella Typhi from the subdural hematoma.
  • Antimicrobial susceptibility testing of the isolated Salmonella Typhi.
  • Treatment involving surgical drainage and antibiotic therapy.

Main Results:

  • The Salmonella Typhi isolate exhibited resistance to chloramphenicol, ampicillin, and co-trimoxazole.
  • The patient underwent subdural drainage and received a course of ofloxacin.
  • The patient achieved a full recovery.

Conclusions:

  • Salmonella Typhi can infect chronic subdural hematomas, likely through a hematogenous route.
  • Treatment requires a combination of surgical intervention and appropriate antibiotic therapy.
  • This case underscores the importance of considering unusual pathogens in CSDH infections.

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