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Updated: Feb 12, 2026
Identification of Fatty Acids in Bacillus cereus
Published on: December 5, 2016
Uncommon Pathogen Bacillus Cereus Causing Subdural Empyema in a Child
Prastiya Indra Gunawan1, Leny Kartina1, Dwiyanti Puspitasari1
1Department of Child Health, Airlangga University College of Medicine, DrSoetomo Hospital, Surabaya, Indonesia.
Insights
Subdural empyema (SDE) in children is a serious brain infection. This case highlights successful treatment of Bacillus cereus SDE using surgery and antibiotics, resulting in a good outcome with no neurological deficits.
Area of Science:
- Pediatric Infectious Diseases
- Neuroscience
- Microbiology
Background:
- Subdural empyema (SDE) is a severe intracranial infection in children.
- Various pathogens can cause SDE, necessitating accurate identification and prompt treatment.
Background:
Subdural empyema (SDE) in children is a severe intracranial infection. Many pathogens can cause SDE.
Case Details:
In this articlewe present a 15-month old Indonesian boy diagnosed as SDE based on the clinical symptoms and neuroimaging. A complete blood count showed white blood cell count of 13.800/mm3 and the CRP level was 8.3 mg/L. Craniotomy following burr hole drainage procedure was performed to decrease intracranial pressure. The liquor culture indicated Bacillus cereus. A meropenem injection and metronidazole infusion were administered appropriately with antibiotic sensitivity for several weeks. Immediate initiation of appropriate antibiotic therapy related to an accelerated surgical drainage can improve the outcome.
Conclusion:
The combination of medication and surgery treatment for Bacillus cereus in SDE resulted in a good response, leaving neurological sequelae.
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