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Septicemia, Meningitis and Bilateral Subdural Empyema in an Infant Caused by Staphylococcus aureus

S Ahmed1, T Biswas, S P Paul

  • 1Dr Shameem Ahmed, Senior Consultant Neurosurgeon, Department of Neurosurgery, Apollo Hospitals (Unit: International Hospital), Guwahati , India.

Mymensingh Medical Journal : MMJ
|November 30, 2018
PubMed

Insights

Staphylococcus aureus can cause rare but serious central nervous system infections like meningitis and subdural empyema in infants. Early recognition and intervention are crucial, especially in resource-limited settings.

Area of Science:

  • Infectious Diseases
  • Pediatric Neurology
  • Bacteriology

Background:

  • Staphylococcus aureus is a significant global pathogen.
  • Central nervous system infections are uncommon but severe manifestations of S. aureus.
  • Risk factors include sinusitis, trauma, and intracranial devices.

Observation:

  • A previously healthy infant presented with S. aureus sepsis and meningitis.
  • Bilateral subdural empyema was diagnosed via CT scan.
  • The infant underwent burr hole evacuation on day 18.

Findings:

  • Post-procedure, inflammatory markers and temperature normalized.
  • A 5-week course of intravenous antibiotics and anticonvulsants was administered.
  • The case highlights diagnostic and management challenges in resource-limited areas.

Implications:

  • Emphasizes considering brain abscess and empyema in pediatric meningitis with persistent fever or seizures.
  • Underscores the importance of prompt diagnosis and management of S. aureus CNS infections.
  • Highlights challenges in pediatric neurosurgical care in resource-limited settings.

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