Intracranial Salmonella infections: meningitis, subdural collections and brain abscess. A series of six surgically managed cases with follow-up results.
Focal intracranial infections due to Salmonella are rare. So far, around 80 cases have been reported in the world literature. The authors present their experience of 6 cases of intracranial Salmonella infections, mainly subdural empyema in 5 and effusion in 1. In 1 case, subdural empyema was bilateral, and in another case, there was an associated brain abscess. Positive blood cultures and positive Widal tests were noticed in 2 patients each. Early diagnosis and prompt evacuation of subdural collections and brain abscess and antibiotic therapy lead to satisfactory results. This study suggests that a high index of suspicion, early diagnosis and quick evacuation lead to success; this point is highlighted with the help of a review of the literature.
Mahapatra
Ashok K
AK
Department of Neurosurgery, The National Neurosurgical Centre, Khoula Hospital, Mina-al-Fahal, Muscat, Sultanate of Oman.
Pawar
Sanjay J
SJ
Sharma
Rewati Raman
RR
D000328:Adult; D001922:Brain Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001927:Brain Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D020806:Central Nervous System Bacterial Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D013354:Empyema, Subdural / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D013353:Subdural Effusion / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome