[Subdural empyema of sinus origin caused by Gemella morbillorum, a strange etiology].
We present a case of frontal sinusitis complicated with a subdural empyema, in which the identified microorganism was Gemella morbillorum, a frequent host of the aerodigestive tract and occasionally related to infections. The problem was resolved successfully using endoscopic surgery and an external approach of the sinus. Afterwards it was completed with a subdural drainage through craniotomy. Subdural empyema is a rare complication of sinusitis although very severe. We want to emphasize the importance of early diagnosis of intracranial complications, the need of a detailed microbiology test the method used to obtain samples, and the convenience of a combined approach by the otolaryngologists and the neurosurgeons for its complete drainage.
Martínez Beneito
M P
MP
Servicio de ORL, Hospital Clínico Universitario de Valencia.
de la Fuente Arjona
L
L
García Callejo
F J
FJ
Mallea Cañizares
I
I
Blay Galaud
L
L
Marco Algarra
J
J
D000328:Adult; D000818:Animals; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003244:Consciousness Disorders / Q000209:etiology; D003399:Craniotomy; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D013354:Empyema, Subdural / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D004724:Endoscopy; D015522:Frontal Sinusitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D010291:Paresis / Q000209:etiology; D040141:Staphylococcaceae / Q000302:isolation & purification*; D014031:Tobramycin / Q000627:therapeutic use; D014640:Vancomycin / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D008795:Metronidazole; D002939:Ciprofloxacin; D014640:Vancomycin; D002443:Ceftriaxone; D002439:Cefotaxime; D014031:Tobramycin