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Case Report
4 (
2
); 213-215
doi:
10.4103/0976-3147.112773

Infratentorial subdural empyemas mimicking pyogenic meningitis

Department of Neurosurgery, Adarsha Superspeciality Hospital, Udupi, India
Department of Medicine, Kasturba Medical College, Manipal University, Karnataka, India
Address for correspondence: Dr. Suman S. Karanth Department of Medicine, Kasturba Medical college, Manipal, Manipal University Karnataka India drsumansk@gmail.com
Licence
This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Disclaimer:
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher.

Abstract

ABSTRACT

Infratentorial subdural empyema is an extremely rare condition which unfortunately mimics pyogenic meningitis in 75% of cases. While an ill‑planned lumbar puncture in these cases may be fatal, an inadvertent delay in treatment may be detrimental to the outcome for the patient. We present a case of a young boy with long standing history of chronic suppurative otitis media (CSOM) presenting with an infratentorial empyema with features suggestive of pyogenic meningitis. We also review the available literature to further define the condition in terms of clinical features, treatment options, and outcome. A misdiagnosis of this condition with failure to institute appropriate surgical intervention and antibiotic therapy is potentially life threatening. We highlight this rare condition which requires a high degree of suspicion especially in the presence of associated risk factors.

Keywords

Masquerading
meningitis
pyogenic
subdural empyemas

Conflict of Interest

None declared

References

  1. , , , . Infratentorial empyema: Analysis of 22 cases. Neurosurgery. 1997;41:1263-8.
    [Google Scholar]
  2. , , , , , , et al . Pediatric infratentorial subdural empyema: Analysis of 14 cases. J Neurosurg. 2006;105(5):370-7. Suppl
    [Google Scholar]
  3. , , , . Infratentorial subdural empyema: Clinical and computerized tomography findings. Report of three cases. J Neurosurg. 1990;72:299-301.
    [Google Scholar]
  4. , , , , , . The clinical challenge of recognizing infratentorial empyema. Neurology. 2007;69:477-81.
    [Google Scholar]
  5. , , . Subtentorial subdural empyema: Report of two cases and review of the literatures. Turk Neurosurg. 2011;21:669-73.
    [Google Scholar]
  6. , . Subdural empyema secondary to purulent frontal sinusitis. A clinicopathologic study of 42 cases verified at autopsy. Arch Otolarygol. 1944;39:211-30.
    [Google Scholar]
  7. , , , , , , . Controversies in the management of subdural empyemas: A study of 11 cases with review of the literature. Acta Neurochir (Wien). 1990;102:25-32.
    [Google Scholar]
  8. , , . Subdural empyema: Burr holes or craniotomy?: A retrospective computerized tomography-era analysis of treatment in 90 cases. J Neurosurg. 1993;78:574-8.
    [Google Scholar]
  9. , , , , . Craniotomy improves outcomes for cranial subdural empyemas: Computed tomography-era experience with 699 patients. Neurosurgery. 2001;49:872-7.
    [Google Scholar]
  10. , , , , . Infratentorial subdural empyema following pyogenic meningitis in an adult: A case report. J Clin Pathol Forensic Med. 2011;2:21-4.
    [Google Scholar]

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