Abstract
Cervico-facial cellulitis can cause serious complications including neuro-meningeal infections. Among these neuro-meningeal infections are intracranial empyemas, which are rarer than brain abscesses. We report the case of a young patient of 25 years, immunocompetent, having presented a cerebral empyema secondary to diffuse cervicofacial cellulitis of dental origin. The diagnosis was suspected in the presence of cervicofacial cellulitis, febrile meningeal syndrome and consciousness disorder, confirmation was reported by brain MRI. The evolution was favorable after the recourse to the surgical treatment.
Highlights
Cervico-facial cellulitis is a severe infection of the subcutaneous cellular tissue of the face and is most often of dental or peridental origin
Cervico-facial cellulitis can cause serious complications including neuro-meningeal infections. Among these neuro-meningeal infections are intracranial empyemas, which are rarer than brain abscesses
We report the case of a young patient of 25 years, immunocompetent, having presented a cerebral empyema secondary to diffuse cervicofacial cellulitis of dental origin
Summary
Cervico-facial cellulitis is a severe infection of the subcutaneous cellular tissue of the face and is most often of dental or peridental origin. We report in this paper the case of a patient who developed a subdural empyema secondary to diffuse cellulitis of dental origin in a 25-yearold boy. This is a 25-year-old patient with no pathological history, admitted to otorhinolaryngological emergencies for cervicofacial cellulitis. On day 2 of hospitalization, the patient presented generalized tonicclonic convulsions, which necessitated the realization of a cerebral MRI showing left subdural temporo-parietal empyema with diffuse enhancing meningeal (image 2). The bacteriological examination of pus objectified the same germ which is streptococcus spp multi-sensitive
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