Bhooshan P, Shivaprakasha S, Dinesh K R, Kiran M, Karim Pms
Department of Microbiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala 682 026, India.
Indian J Med Microbiol. 2010 Jan-Mar;28(1):60-2. doi: 10.4103/0255-0857.58733.
Intracranial infections, especially subdural empyema, due to salmonella are rare. Subdural empyema caused by Salmonella paratyphi A has been documented only once earlier in the literature. Hence, we report a case of subdural empyema and osteomyelitis of cranial vault due to S. paratyphi A. A 42- year-old male presented with headache and purulent discharge from right parietal burr hole wound site. Patient gave a history of head injury two years ago. He underwent burr hole evacuation of chronic subdural haematoma, excision of outer membrane and right parietal craniectomy. The cultures grew S. paratyphi A. Recovery was uneventful following surgical intervention and antibiotic therapy.
沙门氏菌引起的颅内感染,尤其是硬膜下积脓,较为罕见。甲型副伤寒沙门氏菌引起的硬膜下积脓在文献中此前仅被记录过一次。因此,我们报告一例由甲型副伤寒沙门氏菌引起的硬膜下积脓和颅骨骨髓炎病例。一名42岁男性因头痛及右顶骨钻孔伤口处有脓性分泌物就诊。患者有两年前头部受伤史。他接受了慢性硬膜下血肿钻孔引流、外膜切除术及右顶骨颅骨切除术。培养结果显示为甲型副伤寒沙门氏菌。手术干预及抗生素治疗后恢复顺利。