Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse
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 est...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/931819 |
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| author | Melissa Dakkak William Russell Cullinane Virin Rajiv Neil Ramoutar |
| author_facet | Melissa Dakkak William Russell Cullinane Virin Rajiv Neil Ramoutar |
| author_sort | Melissa Dakkak |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-f8c841c3b4c641e79944366a0b2b87cd |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-f8c841c3b4c641e79944366a0b2b87cd2025-02-03T07:25:57ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/931819931819Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance AbuseMelissa Dakkak0William Russell Cullinane1Virin Rajiv Neil Ramoutar2Department of Medicine, University of Florida, 653 W. 8th Street, Box L18, Jacksonville, FL 32209, USADepartment of Medicine, University of Florida, 653 W. 8th Street, Box L18, Jacksonville, FL 32209, USADepartment of Medicine, University of Florida, 653 W. 8th Street, Box L18, Jacksonville, FL 32209, USASubdural 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.http://dx.doi.org/10.1155/2015/931819 |
| spellingShingle | Melissa Dakkak William Russell Cullinane Virin Rajiv Neil Ramoutar Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse Case Reports in Medicine |
| title | Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse |
| title_full | Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse |
| title_fullStr | Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse |
| title_full_unstemmed | Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse |
| title_short | Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse |
| title_sort | subdural empyema complicating bacterial meningitis a challenging diagnosis in a patient with polysubstance abuse |
| url | http://dx.doi.org/10.1155/2015/931819 |
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