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Subdural interhemispheric empyema in a 7-year-old boy.

K Baerlocher, G Arregger, A Benini

    Helvetica Paediatrica Acta
    |January 1, 1979
    PubMed
    Summary

    A 7-year-old boy recovered from subdural interhemispheric empyema after neurosurgery. Computerized tomography (CT) scanning was crucial for diagnosing this rare brain infection caused by Peptostreptococcus intermedius.

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    Area of Science:

    • Neurology
    • Infectious Diseases
    • Neurosurgery

    Background:

    • Subdural interhemispheric empyema is a rare but serious intracranial infection.
    • Prompt diagnosis and intervention are critical for favorable outcomes.

    Observation:

    • A 7-year-old boy presented with acute left hemiparesis, indicating a neurological deficit.
    • Diagnostic imaging, including angiography and computerized tomography (CT), revealed subdural interhemispheric empyema.

    Findings:

    • Neurosurgical intervention led to significant clinical improvement in the patient.
    • Cultures from the empyema identified Peptostreptococcus intermedius as the causative agent.
    • The patient remained in good condition one year post-hospitalization.

    Implications:

    • Computerized tomography (CT) scanning is vital for the accurate diagnosis and effective management of brain abscesses and empyemas.
    • Early detection and surgical treatment can prevent long-term neurological sequelae.
    • This case highlights the importance of considering and diagnosing rare infections in pediatric neurology.

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