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Pasteurella multocida subdural empyema: a case report

M I Khan, R Chan

    The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
    |May 1, 1981
    PubMed
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    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.

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  • 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.