[Trial of initial non surgical treatment of subdural empyema].
The authors report on an 8-year-old girl who experienced bilateral subdural frontoparietal and interhemispheric empyema following sinusitis. The child improved after initial treatment with a 3 weeks course of parenteral antibiotics. Surgical drainage was further required because of clinical aggravation; however, this evolution was related to bilateral frontoparietal brain edema and abscesses fluid was sterile.
Bensaid
P
P
Unité de réanimation infantile, CHRU de Caen, France.
Dantas
F
F
Lecacheux
C
C
Gandon-Laloum
S
S
N'Guyen
B
B
Yaseen
H
H
D001929:Brain Edema / Q000209:etiology / Q000628:therapy; D002439:Cefotaxime / Q000627:therapeutic use; D002648:Child; D004322:Drainage; D004359:Drug Therapy, Combination; D013354:Empyema, Subdural / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D015521:Ethmoid Sinusitis / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005578:Fosfomycin / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed; D014207:Trephining
D005578:Fosfomycin; D002439:Cefotaxime
Tentative de traitement non chirurgical d'emblée d'un empyème sous-dural.