TUBERCULOUS SUBDURAL EMPYEMA - A RARE CASE REPORT.
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.
Full Text:
PDFReferences
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.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An Initiative of The Tamil Nadu Dr MGR Medical University