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Subdural Hematoma Infected with <em>Escherichia coli</em> in a 5-Month-Old Male Infant: Case Report | OMICS International | Abstract
ISSN: 2332-0877

Journal of Infectious Diseases & Therapy
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Case Report

Subdural Hematoma Infected with Escherichia coli in a 5-Month-Old Male Infant: Case Report

Yu-Lung Hsu1, Hsiao-Chuan Lin1, Yu-Tzu Chang2, Hsiang-Ming Huang3, Tsung-Hsueh Hsieh1, Ting-Yu Yen1, Hsiu-Mei Wei1 and Kao-Pin Hwang1*
1Department of Pediatric Infectious Diseases, Children’s Hospital, China Medical University Hospital, China Medical University School of Medicine, Taichung, 40402, Taiwan
2Department of Pediatric Neurology, Children’s Hospital, China Medical University Hospital, China Medical University School of Medicine, Taichung, 40402, Taiwan
3Department of Neurosurgery, China Medical University Hospital, China Medical University School of Medicine, Taichung, 40402, Taiwan
Corresponding Author : Kao-Pin Hwang
Department of Pediatric infectious disease
Children’s Hospital, China Medical University Hospital
China Medical Universityn School of Medicine, #2
Yuh-Der Road, Taichung 40447, Taiwan
Tel: +886-4-2205-2121(1930)
E-mail: [email protected]
Received February 25, 2015, Accepted March 27, 2015, Published April 03, 2015
Citation: Hsu YL, Lin HC, Chang YT, Huang HM, Hsieh TH, et al. (2015) Subdural Hematoma Infected with Escherichia coli in a 5-Month-Old Male Infant: Case Report. J Infect Dis Ther 3:209. doi: 10.4172/2332-0877.1000209
Copyright: © 2015 Hsu YL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Hematogenous dissemination from a localized infection to a previous existing subdural hematoma is an extremely rare cause of subdural empyema which is termed infected subdural hematoma. We reported a 5-month-old male infant suffered from infected subdural hematoma by Escherichia coli (E. coli). In this patient, urinary tract infection was the most favorable origin from which seed the organism to subdural space hematogenously with evidence of pyuria and pyelonephritis. Subdural empyema was well treated after burr hole drainage with adequate antibiotic use. This infant is now doing well based on findings from regular outpatient followed-up without recurrence of infection and sequela. In conclusion, the applicable treatment strategy for infected subdural hematoma has not been determined due to its rarity. However, adequate drainage and duration of antibiotic use will be related to achieving a more satisfactory outcome when compared with subdural empyema associated with meningitis.

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