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Spontaneous Subdural Empyema: A Case Report

Deep Dutta1, Shameem Ahmed1, Abhigyan Borkotoky1

  • 1Department of Neurosurgery, Apollo Hospitals Guwahati, Guwahati, Assam, India.

Asian Journal of Neurosurgery
|January 1, 2024
PubMed

Insights

Spontaneous subdural empyema, a rare condition, can be caused by Escherichia coli. This case highlights a rare instance of E. coli causing spontaneous subdural empyema, even after initial misdiagnosis.

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.
Keywords:
E. coliencephalitisparanasal sinusespurulentsubdural empyema

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