A Rare Cause of Calcified Subdural Empyema and Ventriculitis in a Pediatric Patient: Achromobacter Denitrificans.

Mehtap Beker‐Acay ,Mehmet Gazi Boyacı ,Gülşah Aşık ,Reşit Köken ,Ebru Ünlü ,Usame Rakip

doi:10.5334/jbr-btr.925

Mehtap Beker‐Acay , Mehmet Gazi Boyacı + Show 4 more

Open Access

https://doi.org/10.5334/jbr-btr.925

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Abstract

Intracranial infections in the pediatric age group are still important causes of morbidity in developing countries. A 2-year-old male patient presented with acute onset of seizures and loss of consciousness to our emergency department with a past history of being followed for hypogammaglobulinemia. Unenhanced computerized tomography scan of the brain revealed a right frontoparietal peripherally calcified extraaxial collection, brain edema and a left sided shift. Contrast enhanced magnetic resonance imaging revealed a subdural empyema associated with the brain parenchyma and the ventricular system. In spite of a decompression procedure and subsequent medical therapy, the patient succumbed on the 9. postoperative day. This is the first case report of a pediatric patient with subdural empyema and ventriculitis due to Achromobacter denitrificans.

Highlights

Intracranial infections in the pediatric age group are still important causes of morbidity despite the advances in imaging techniques, bacterial isolation technology and newly developed broad-spectrum antibiotics, in developing countries [1]
Achromobacter denitrificans, called as Alcaligenes denitrificans is a subspecies of genus achromobacter [2,3,4]
We present a case report of a pediatric patient with subdural empyema and ventriculitis due to Achromobacter denitrificans which was not described in the medical literature before

Summary

CASE REPORT

A Rare Cause of Calcified Subdural Empyema and Ventriculitis in a Pediatric Patient: Achromobacter Denitrificans. Intracranial infections in the pediatric age group are still important causes of morbidity in developing countries. Unenhanced computerized tomography scan of the brain revealed a right frontoparietal peripherally calcified extraaxial collection, brain edema and a left sided shift. Contrast enhanced magnetic resonance imaging revealed a subdural empyema associated with the brain parenchyma and the ventricular system. In spite of a decompression procedure and subsequent medical therapy, the patient succumbed on the 9. This is the first case report of a pediatric patient with subdural empyema and ventriculitis due to Achromobacter denitrificans

Introduction

Discussion