RESUMO
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.
Assuntos
Empiema Subdural/microbiologia , Osteomielite/microbiologia , Febre Paratifoide/diagnóstico , Salmonella paratyphi A/isolamento & purificação , Crânio/microbiologia , Adulto , Antibacterianos/uso terapêutico , Desbridamento , Empiema Subdural/tratamento farmacológico , Empiema Subdural/patologia , Empiema Subdural/cirurgia , Humanos , Masculino , Osteomielite/tratamento farmacológico , Osteomielite/patologia , Osteomielite/cirurgia , Febre Paratifoide/microbiologia , Crânio/patologia , Resultado do TratamentoRESUMO
We report a case of prosthetic valve endocarditis caused by Cardiobacterium hominis in a patient who had undergone atrial septal defect closure and mitral valve replacement of the heart in 1978. He presented with pyrexia of unknown origin and congestive cardiac failure. Investigations revealed infective endocarditis of prosthetic valve in mitral portion. Blood culture samples grew C. hominis. The patient was empirically started on vancomycin and gentamicin intravenously and ceftriaxone was added after isolation of the organism. Though subsequent blood cultures were negative, patient remained in congestive cardiac failure and died due to complications.