Spontaneous Subdural Empyema: A Case Report.

Area of Science:

• Neurology
• Infectious Diseases
• Neurosurgery

Background:

• Subdural empyema involves pus collection between the dura mater and arachnoid, typically from local infection spread.
• Spontaneous subdural empyema is uncommon, with few reported cases linked to Escherichia coli.
• Early diagnosis and treatment are crucial for managing subdural empyema.

Observation:

• A rare case of spontaneous subdural empyema caused by Escherichia coli is presented.
• The patient was initially treated for suspected encephalitis and urinary tract infection.
• The condition was identified upon presentation at the hospital.

Findings:

• Escherichia coli was identified as the causative agent of the spontaneous subdural empyema.
• Literature review indicates a scarcity of similar reported cases.
• The case underscores the importance of considering rare etiologies in complex infections.

Implications:

• Highlights the need for broader differential diagnoses in suspected central nervous system infections.
• Emphasizes the potential for Escherichia coli to cause rare spontaneous infections.
• Suggests reviewing diagnostic and treatment protocols for subdural empyema, especially in atypical presentations.