Subdural empyema in patient with SARS-CoV-2 positivity: A rare case report of 3 patients
Coronavirus disease 2019 (COVID-19) is a viral pandemic and a matter of concern. It also mimics viral pneumonia with cough and fever but also causes severe sequels and various complications. Subdural empyema is a very rare brain infection presenting mostly with fever, weakness, and altered level of...
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013438 |
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| author | Hamidreza Aghadoost, MD Ghazaleh Salehabadi, MD-MPH Esmaeil Fakharian, MD |
| author_facet | Hamidreza Aghadoost, MD Ghazaleh Salehabadi, MD-MPH Esmaeil Fakharian, MD |
| author_sort | Hamidreza Aghadoost, MD |
| collection | DOAJ |
| description | Coronavirus disease 2019 (COVID-19) is a viral pandemic and a matter of concern. It also mimics viral pneumonia with cough and fever but also causes severe sequels and various complications. Subdural empyema is a very rare brain infection presenting mostly with fever, weakness, and altered level of consciousness, and has been recently noted as a new complication of COVID-19. This report presents 3 cases of subdural empyema with a prior history of COVID-19. The first case is a 17-year-old female presented with a 1-week history of severe progressive headache, right-sided ptosis, and left-sided hemiplegia with a history of COVID-19 in about 40 days before admission. The second one is a 41-year-old female presented with a 2-week history of fatigue, severe progressive headache which deteriorated while sitting, left tarsal swelling, and left-sided hemiparesis accompanied by drowsiness since 1 day before admission and a history of COVID-19 in about 50 days before admission. The third one is a 47-year-old gentleman with a known case of epilepsy, who presented with a 2-day history of headache and fever and an event of Generalized Tonic Colonic (GTC) seizure on the day of admission. The patient had a history of multiple head traumas during past years, which led to craniectomy, and also a history of COVID-19 about 46 days before admission. Emergent surgery was performed to evacuate empyema, and patients underwent subsequent anti-bacterial treatment. All patients showed clinical improvement. This report highlights a potential link between SARS-COV-2 infection and the patient's development of subdural empyema. |
| format | Article |
| id | doaj-art-e19d4cf6ef404b8aa0a3dabe7ac184fd |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-e19d4cf6ef404b8aa0a3dabe7ac184fd2025-01-18T05:04:00ZengElsevierRadiology Case Reports1930-04332025-03-0120315521558Subdural empyema in patient with SARS-CoV-2 positivity: A rare case report of 3 patientsHamidreza Aghadoost, MD0Ghazaleh Salehabadi, MD-MPH1Esmaeil Fakharian, MD2Department of Neurosurgery, Kashan University of Medical Sciences, Kashan, IranDepartment of Radiology, Iran University of Medical Sciences, Tehran, Iran; Corresponding author.Trauma Research Center, Kashan University of Medical Sciences, Kashan, IranCoronavirus disease 2019 (COVID-19) is a viral pandemic and a matter of concern. It also mimics viral pneumonia with cough and fever but also causes severe sequels and various complications. Subdural empyema is a very rare brain infection presenting mostly with fever, weakness, and altered level of consciousness, and has been recently noted as a new complication of COVID-19. This report presents 3 cases of subdural empyema with a prior history of COVID-19. The first case is a 17-year-old female presented with a 1-week history of severe progressive headache, right-sided ptosis, and left-sided hemiplegia with a history of COVID-19 in about 40 days before admission. The second one is a 41-year-old female presented with a 2-week history of fatigue, severe progressive headache which deteriorated while sitting, left tarsal swelling, and left-sided hemiparesis accompanied by drowsiness since 1 day before admission and a history of COVID-19 in about 50 days before admission. The third one is a 47-year-old gentleman with a known case of epilepsy, who presented with a 2-day history of headache and fever and an event of Generalized Tonic Colonic (GTC) seizure on the day of admission. The patient had a history of multiple head traumas during past years, which led to craniectomy, and also a history of COVID-19 about 46 days before admission. Emergent surgery was performed to evacuate empyema, and patients underwent subsequent anti-bacterial treatment. All patients showed clinical improvement. This report highlights a potential link between SARS-COV-2 infection and the patient's development of subdural empyema.http://www.sciencedirect.com/science/article/pii/S1930043324013438Covid-19Subdural empyemaSars-Cov-2Brain CT scan |
| spellingShingle | Hamidreza Aghadoost, MD Ghazaleh Salehabadi, MD-MPH Esmaeil Fakharian, MD Subdural empyema in patient with SARS-CoV-2 positivity: A rare case report of 3 patients Radiology Case Reports Covid-19 Subdural empyema Sars-Cov-2 Brain CT scan |
| title | Subdural empyema in patient with SARS-CoV-2 positivity: A rare case report of 3 patients |
| title_full | Subdural empyema in patient with SARS-CoV-2 positivity: A rare case report of 3 patients |
| title_fullStr | Subdural empyema in patient with SARS-CoV-2 positivity: A rare case report of 3 patients |
| title_full_unstemmed | Subdural empyema in patient with SARS-CoV-2 positivity: A rare case report of 3 patients |
| title_short | Subdural empyema in patient with SARS-CoV-2 positivity: A rare case report of 3 patients |
| title_sort | subdural empyema in patient with sars cov 2 positivity a rare case report of 3 patients |
| topic | Covid-19 Subdural empyema Sars-Cov-2 Brain CT scan |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324013438 |
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