Data/hora: 11/06/2024 04:39:58

Provedor de dados: | 56
País: | Brazil
Título: | Treatment of a subdural empyema complicated by intracerebral abscess due to Brucella infection
Autores: | Zhang,J.; Chen,Z.; Xie,L.; Zhao,C.; Zhao,H.; Fu,C.; Chen,G.; Hao,Z.; Wang,L.; Li,W.
Data: | 2017-01-01
Ano: | 2017
Palavras-chave: | Subdural empyema; Neurobrucellosis; Craniotomy; Infection; Treatment.
Resumo: | A 55-year-old male presented with fever, stupor, aphasia, and left hemiparesis. A history of head trauma 3 months before was also reported. Cranial magnetic resonance imaging revealed slight contrast enhancement of lesions under the right frontal skull plate and right frontal lobe. Because of deterioration in nutritional status and intracranial hypertension, the patient was prepared for burr hole surgery. A subdural empyema (SDE) recurred after simple drainage. After detection of Brucella species in SDE, craniotomy combined with antibiotic treatment was undertaken. The patient received antibiotic therapy for 6 months (two doses of 2 g ceftriaxone, two doses of 100 mg doxycycline, and 700 mg rifapentine for 6 months) that resulted in complete cure of the infection. Thus, it was speculated that the preexisting subdural hematoma was formed after head trauma, which was followed by a hematogenous infection caused by Brucella species.
Tipo: | Info:eu-repo/semantics/report
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2017000500501
Editor: | Associação Brasileira de Divulgação Científica
Relação: | 10.1590/1414-431x20165712
Formato: | text/html
Fonte: | Brazilian Journal of Medical and Biological Research  v.50 n.5 2017
Fonte: | info:eu-repo/semantics/openAccess