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Postoperative subdural empyema caused by Propionibacterium acnes--a report of two cases
1Department of Neurosurgery, Hope Hospital, Salford, UK.
British Journal of Neurosurgery
|June 1, 1996
Abstract:
Two patients with postoperative subdural empyema following burr hole evacuation of chronic subdural haematoma are reported, both caused by Propionibacterium acnes. The need to consider this diagnosis in patients developing recurrent symptoms after surgical drainage of chronic subdural haematoma is emphasized.
Insights
Propionibacterium acnes can cause subdural empyema after surgery for chronic subdural hematoma. This diagnosis should be considered in patients with recurring symptoms post-drainage.
Area of Science:
- Neurosurgery
- Infectious Diseases
Background:
- Chronic subdural hematoma (CSH) is a common neurosurgical condition.
- Burr hole evacuation is a standard surgical treatment for CSH.
Observation:
- Two patients developed postoperative subdural empyema after CSH surgery.
- Propionibacterium acnes was identified as the causative agent in both cases.
Findings:
- Subdural empyema is a rare but serious complication following CSH evacuation.
- Propionibacterium acnes, a typically commensal bacterium, can act as a pathogen in this context.
Implications:
- Clinicians should maintain a high index of suspicion for subdural empyema in patients with recurrent symptoms post-CSH surgery.
- Prompt diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes.