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[Subdural empyema due to Salmonella typhimurium. Analysis of a case]
Abstract:
The case was that of an infant with congenital hydrocephalus who developed subdural empyema. The most outstanding items were, the age of the patient (18 months), the identification of Salmonella typhimurium, a germ rarely described responsible for this pathology, the absence of anacrobe germs and the possible hematogenous dissemination from the digestive tract when the port of entry usually associated is the infection of the paranasal sinuses. The most useful method for study was the computerized axial tomography.
Insights
An 18-month-old infant with congenital hydrocephalus developed subdural empyema caused by Salmonella typhimurium. This rare case highlights hematogenous dissemination from the digestive tract as a potential pathogen source.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Congenital hydrocephalus presents unique challenges in pediatric neurosurgery.
- Subdural empyema is a rare but serious complication in infants.
- Salmonella typhimurium is an uncommon pathogen for subdural empyema.
Observation:
- An 18-month-old infant with pre-existing congenital hydrocephalus presented with symptoms of subdural empyema.
- Cerebrospinal fluid analysis revealed the presence of Salmonella typhimurium.
- No anaerobic bacteria were identified in the affected area.
Findings:
- The infant's subdural empyema was attributed to Salmonella typhimurium, a rare causative agent.
- Evidence suggested hematogenous dissemination from a gastrointestinal source, differing from typical routes via paranasal sinuses.
- Computerized axial tomography (CAT) was instrumental in diagnosing the condition.
Implications:
- This case expands the understanding of potential pathogens and transmission routes for subdural empyema in infants.
- Highlights the importance of considering gastrointestinal sources for Salmonella infections in pediatric neurosurgical patients.
- Emphasizes the diagnostic utility of advanced imaging like CAT scans in complex pediatric infections.