title: Subdural empyema complicating cerebrospinal fluid shunt infection.
abstract: Subdural empyema has not been reported previously as a complication of cerebrospinal fluid (CSF) shunt surgery. An infant submitted to CSF shunt insertion for congenital hydrocephalus developed subdural empyema after a failed attempt to treat a superficial scalp wound infection with oral antibiotics. Enterobacter cloacae was isolated from the empyema. Temporizing management of the preceding superficial wound infection with oral antibiotics probably was the cause of this exotic pathogen. The treatment of infected scalp wounds contiguous with shunt hardware must be surgical.
authors.affiliation: Department of Surgery, University of North Texas Health Science Center, Fort Worth, TX 76107-2699, USA. rdickerm@hsc.unt.edu
authors.forename: R D
authors.initials: RD
authors.lastname: Dickerman
authors.forename: J H
authors.initials: JH
authors.lastname: Piatt
authors.forename: F
authors.initials: F
authors.lastname: Hsu
authors.forename: E H
authors.initials: EH
authors.lastname: Frank
mesh_terms: D013354:Empyema, Subdural / Q000209:etiology / Q000382:microbiology*; D016972:Enterobacter cloacae / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000382:microbiology*; D006801:Humans; D006849:Hydrocephalus / Q000382:microbiology / Q000601:surgery; D007223:Infant; D008297:Male; D012535:Scalp / Q000382:microbiology; D012871:Skin Diseases / Q000150:complications / Q000382:microbiology