Subdural empyema caused by hematogenous dissemination from an abscess in thigh to a preexisting chronic subdural hematoma - Case report

被引：10

作者：

Kawamoto, S ^{[1
]}

Nagata, K ^{[1
]}

Mochizuki, Y ^{[1
]}

Hara, T ^{[1
]}

Abe, T ^{[1
]}

Sashida, J ^{[1
]}

机构：

[1] Showa Gen Hosp, Dept Neurosurg, Tokyo 1878510, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 1998年 / 38卷 / 11期

关键词：

subdural empyema; chronic subdural hematoma; hematogenous dissemination; deoxyribonucleic acid fingerprinting;

D O I：

10.2176/nmc.38.743

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 63-year-old male with a preexisting chronic subdural hematoma presented with progressive confusion and left hemiparesis as well as high fever. Subdural empyema was strongly suspected. At surgery, the empyema was encapsulated by definite inner and outer membranes. Cultures isolated from the subdural fluid and from an abscess of his left thigh yielded methicillin-resistant Staphylococcus aureus. A pulsed-field gel electrophoresis showed these two strains were genetically identical. Hematogenous infection of a preexisting subdural hematoma is an extremely rare cause of subdural empyema.

引用

页码：743 / 745

页数：3

共 23 条

[1] SUBDURAL EMPYEMA CAUSED BY ESCHERICHIA-COLI - HEMATOGENOUS DISSEMINATION TO A PREEXISTING CHRONIC SUBDURAL-HEMATOMA [J].