Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse

Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse

Subdural empyema (SDE) and cerebrovascular accident (CVA) are uncommon life-threatening complications of bacterial meningitis, which require urgent neurosurgical intervention to prevent adverse outcomes. Clinicians must be vigilant of the onset of focal neurologic deficits or seizure activity to est...

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Main Authors: Melissa Dakkak, William Russell Cullinane, Virin Rajiv Neil Ramoutar
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2015/931819
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spelling doaj-f8c841c3b4c641e79944366a0b2b87cd2020-11-24T22:37:23ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/931819931819Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance AbuseMelissa Dakkak0William Russell Cullinane1Virin Rajiv Neil Ramoutar2Department of Medicine, University of Florida, 653 W. 8th Street, Box L18, Jacksonville, FL 32209, USADepartment of Medicine, University of Florida, 653 W. 8th Street, Box L18, Jacksonville, FL 32209, USADepartment of Medicine, University of Florida, 653 W. 8th Street, Box L18, Jacksonville, FL 32209, USASubdural empyema (SDE) and cerebrovascular accident (CVA) are uncommon life-threatening complications of bacterial meningitis, which require urgent neurosurgical intervention to prevent adverse outcomes. Clinicians must be vigilant of the onset of focal neurologic deficits or seizure activity to establish the diagnosis of SDE. Streptococcus pneumoniae accounts for <1% of pyogenic brain abscesses. This case describes a presentation of community acquired pneumococcal pneumonia in which the diagnosis of SDE with vasculitis induced CVA was confounded by concomitant substance abuse and sedation.http://dx.doi.org/10.1155/2015/931819
collection DOAJ
language English
format Article
sources DOAJ
author Melissa Dakkak
William Russell Cullinane
Virin Rajiv Neil Ramoutar
spellingShingle Melissa Dakkak
William Russell Cullinane
Virin Rajiv Neil Ramoutar
Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse
Case Reports in Medicine
author_facet Melissa Dakkak
William Russell Cullinane
Virin Rajiv Neil Ramoutar
author_sort Melissa Dakkak
title Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse
title_short Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse
title_full Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse
title_fullStr Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse
title_full_unstemmed Subdural Empyema Complicating Bacterial Meningitis: A Challenging Diagnosis in a Patient with Polysubstance Abuse
title_sort subdural empyema complicating bacterial meningitis: a challenging diagnosis in a patient with polysubstance abuse
publisher Hindawi Limited
series Case Reports in Medicine
issn 1687-9627
1687-9635
publishDate 2015-01-01
description Subdural empyema (SDE) and cerebrovascular accident (CVA) are uncommon life-threatening complications of bacterial meningitis, which require urgent neurosurgical intervention to prevent adverse outcomes. Clinicians must be vigilant of the onset of focal neurologic deficits or seizure activity to establish the diagnosis of SDE. Streptococcus pneumoniae accounts for <1% of pyogenic brain abscesses. This case describes a presentation of community acquired pneumococcal pneumonia in which the diagnosis of SDE with vasculitis induced CVA was confounded by concomitant substance abuse and sedation.
url http://dx.doi.org/10.1155/2015/931819
work_keys_str_mv AT melissadakkak subduralempyemacomplicatingbacterialmeningitisachallengingdiagnosisinapatientwithpolysubstanceabuse
AT williamrussellcullinane subduralempyemacomplicatingbacterialmeningitisachallengingdiagnosisinapatientwithpolysubstanceabuse
AT virinrajivneilramoutar subduralempyemacomplicatingbacterialmeningitisachallengingdiagnosisinapatientwithpolysubstanceabuse
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