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Hindi 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: kapihw@mail.cmuh.org.tw |
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| 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. | ||
Related article at Pubmed Scholar Google |
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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.
