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TUBERCULOUS SUBDURAL EMPYEMA - A RARE CASE REPORT.

ILANKUMARAN NATRAJAPERUMAL

Abstract


Tuberculous subdural empyema are extremely
rare manifestations of central
nervous system tuberculosis. Here is a
rare case report of TB subdural empyema
with osteomyelitis presenting with
seizures, hemiparesis. A right frontotemporoparietal
craniotomy was performed
and the subdural empyema was evacuated.
The Ziehl Nielsen staining of the
aspirated pus yielded acid fast bacilli.
Prompt administration of antituberculous
treatment resulted in complete recovery
of the patient This case is being reported
because of its rarity of associated osteomyelitis
of bone and to stress the importance
of routine staining for AFB in cases
of sub dural empyema.


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References


Kumar R, Pandey CK, Bose N,

Sahay S. Tuberculous brain abscess,

clinical presentation, pathophysiology

and treatment in children.

Childs Nerv Syst.2002;18:118

–23.

Muzumdar D, Balasubramaniam

S, Melkundi S. Tuberculous otogenic

brain abscess mimicking

pyaemic abscess. Pediatr Neurosurg.

;45:220–4.

Menon S, Bharadwaj R, Chowdhary

A, Kaundinya DV, Palande DA.

Current epidemiology of

intracranial abscesses: A prospective

year study. J Med Microbiol.

;57:1259–68.

Luthra G, Parihar A, Nath K,

Jaiswal S, Prasad KN, Husain N, et

al. Comparative evaluation of bacterial,

fungal and tubercular brain abscess

by MR maging and MR spectroscopy.

AJNR Am J Neuroradiol.

;28:1332–8.

Whitner RD. Tuberculous brain

abscess: Report of a case and review

of literature.Arch Neurol.

;35:148–55.

Banerjee AD, Pandey P, Ambekar

S, Chandramouli BA. Pediatric intracranial

subdural empyema

caused by Mycobacterium tuberculosis:

A case report and review of

l i t e r a t u r e . C h i l d s N e r v

Syst. 2010;26:1117–20.

Cayli SR, Onal C, Koçak A, Onmu

SH, Tekiner A. An unusual presentation

of neurotuberculosis: Subdural

empyema: Case report. J

Neurosurg. 2001;94:988–91.

Multidrug-resistant tuberculous

subdural empyema with secondary

methicillin-resistant Staphylococcus

aureus infection: an unusual presentation

of cranial tuberculosis in an

infant. Turel MK, Moorthy RK, Rajshekhar

V. Department of Neurological

Sciences, Christian Medical

College, Vellore, Tamil Nadu, India.

Tuberculous brain abscess and

subdural empyema in an immunocompetent

child:

Significance of AFB staining in aspirated

pus. Vijayakumar B, Sarin K, Mohan G.

Department of Pediatrics, Government T.

D. Medical College, Vandanam, Alappuzha,

India.


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