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Subdural empyema: an unusual complication of meningococcal meningitis
Southern Medical Journal
|January 1, 1982
Abstract:
Subdural empyema rarely is associated with bacterial meningitis in infants, particularly when the etiologic agent is Neisseria meningitidis. We have described a 3-month-old infant in whom relapse of meningitis due to Meningococcus group C was accompanied by a right-sided subdural empyema. Full recovery followed appropriate antimicrobial therapy and closed drainage.
Insights
Subdural empyema is a rare complication of bacterial meningitis in infants, especially with Neisseria meningitidis. This case highlights a successful recovery in an infant with Meningococcus group C meningitis and subdural empyema through prompt treatment.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neurology
Background:
- Bacterial meningitis in infants is a serious condition.
- Subdural empyema is an uncommon complication of bacterial meningitis.
- Neisseria meningitidis is a significant cause of bacterial meningitis.
Observation:
- A 3-month-old infant presented with a relapse of meningitis.
- The meningitis was caused by Meningococcus group C.
- A concurrent right-sided subdural empyema was diagnosed.
Findings:
- This case demonstrates a rare association between Meningococcus group C meningitis and subdural empyema in an infant.
- The infant experienced a relapse of meningitis with subdural empyema development.
Implications:
- Early recognition and prompt management of subdural empyema in infants with meningitis are crucial.
- Appropriate antimicrobial therapy and surgical intervention, such as closed drainage, can lead to full recovery.
- This case underscores the importance of considering subdural empyema in infants with recurrent or refractory meningitis, particularly when caused by Neisseria meningitidis.