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Empiema subdural de causa sinusal por gemela morbillorum, una extraña etiología

2002; Elsevier BV; Volume: 53; Issue: 6 Linguagem: Inglês

10.1016/s0001-6519(02)78332-5

1988-3013

M.P. Martínez Beneito, L. de la Fuente Arjona, Francisco Javier García Callejo, I. Mallea Cañizares, L. Blay Galaud, J. Marco Algarra,

Infectious Diseases and Mycology

We present a case of frontal sinusitis complicated with a subdural empyema, in which the identified microorganism was Gemella morbillorum, a frequent host of the aerodigestive tract and occasionally related to infections. The problem was resolved successfully using endoscopic surgery and an external approach of the sinus. Afterwards it was completed with a subdural drainage through craniotomy. Subdural empyema is a rare complication of sinusitis although very severe. We want to emphasize the importance of early diagnosis of intracranial complications, the need of a detailed microbiology test the method used to obtain samples, and the convenience of a combined approach by the otolaryngologists and the neurosurgeons for its complete drainage.