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Pasteurella multocida subdural empyema: a case report
Abstract:
The first case of Pasteurella Multocida subdural empyema is reported. This was secondary to hematogenous spread from the pharynx to a chronic subdural hematoma. Positive cultures were obtained from the primary source, the blood and the subdural space. The patient was discharged with no neurological deficit following surgical drainage and parenteral antibiotics. The incidence, predisposing factors, clinical features, bacteriology, diagnostic procedures, treatment and mortality of subdural empyema are briefly discussed.
Insights
This report details the first case of Pasteurella Multocida subdural empyema, a rare brain infection. Prompt surgical drainage and antibiotics led to a full recovery without neurological deficits.
Area of Science:
- Infectious Diseases
- Neurology
- Neurosurgery
Background:
- Subdural empyema is a serious intracranial infection.
- Pasteurella Multocida is a bacterium typically found in animals.
- Hematogenous spread can lead to infections in unusual locations.
Observation:
- A patient developed subdural empyema secondary to Pasteurella Multocida bacteremia.
- The infection originated from a pharyngeal source and spread to a chronic subdural hematoma.
- Positive cultures confirmed Pasteurella Multocida in the pharynx, blood, and subdural space.
Findings:
- This is the first reported case of Pasteurella Multocida subdural empyema.
- Surgical drainage and parenteral antibiotics were effective treatments.
- The patient experienced a complete neurological recovery.
Implications:
- Highlights the potential for Pasteurella Multocida to cause severe CNS infections.
- Emphasizes the importance of considering unusual pathogens in subdural empyema.
- Demonstrates successful management of a rare neurosurgical emergency.