Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance AbuseReportar como inadecuado




Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Case Reports in Medicine - Volume 2015 2015, Article ID 931819, 3 pages -

Case ReportDepartment of Medicine, University of Florida, 653 W. 8th Street, Box L18, Jacksonville, FL 32209, USA

Received 28 June 2015; Revised 17 September 2015; Accepted 27 September 2015

Academic Editor: Di Lazzaro Vincenzo

Copyright © 2015 Melissa Dakkak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Subdural empyema SDE and cerebrovascular accident CVA are uncommon life-threatening complications of bacterial meningitis, which require urgent neurosurgical intervention to prevent adverse outcomes. Clinicians must be vigilant of the onset of focal neurologic deficits or seizure activity to establish the diagnosis of SDE. Streptococcus pneumoniae accounts for <1% of pyogenic brain abscesses. This case describes a presentation of community acquired pneumococcal pneumonia in which the diagnosis of SDE with vasculitis induced CVA was confounded by concomitant substance abuse and sedation.





Autor: Melissa Dakkak, William Russell Cullinane Jr., and Virin Rajiv Neil Ramoutar

Fuente: https://www.hindawi.com/



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