Rasheed Ahmed, Khawchareonporn Thana, Muengtaweepongsa Sombat, Suebnukarn Siriwan
Department of Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.
Ann Indian Acad Neurol. 2013 Oct;16(4):723-5. doi: 10.4103/0972-2327.120447.
Subdural empyema is an uncommon clinical entity. The first case of Porphyromonas gingivalis subdural empyema is reported. We report a case of 34-year-old male who presented with subdural empyema and sinusitis. Through the utilization of polymerase chain reaction (PCR) tests on subdural pus, we were able to confirm the diagnosis and institute appropriate treatment. Early surgical intervention and intravenous antibiotics meant that the patient recovered fully. Infections caused by P. gingivalis should be considered in differential diagnoses of central nervous system (CNS) abscesses or subdural empyema especially in patients with precedent periodontal diseases and sinusitis.
硬脑膜下积脓是一种不常见的临床病症。本文报告了首例牙龈卟啉单胞菌引起的硬脑膜下积脓病例。我们报告了一名34岁男性患者,他患有硬脑膜下积脓和鼻窦炎。通过对硬脑膜下脓液进行聚合酶链反应(PCR)检测,我们得以确诊并进行了适当治疗。早期手术干预和静脉注射抗生素使患者完全康复。在中枢神经系统(CNS)脓肿或硬脑膜下积脓的鉴别诊断中,尤其是对于有前期牙周疾病和鼻窦炎的患者,应考虑由牙龈卟啉单胞菌引起的感染。