title: Propionibacterium acnes causing delayed subdural empyema - a case report and review of literature.
abstract: The authors report a patient who presented with a delayed subdural empyema caused by Propionibacterium acnes following excision of a meningioma. This organism should be suspected in all patients with delayed empyema especially in the presence of implants and immunosuppression. The main features of this pathogen is discussed. Surgical drainage and high-dose intravenous penicillin should be the recommended therapy.
authors.affiliation: Department of Neurosurgery, Royal Preston Hospital, Preston, Lancashire, UK. simonohalavini@doctors.oro.uk
authors.forename: S R A
authors.initials: SR
authors.lastname: Ghalayini
authors.forename: A M
authors.initials: AM
authors.lastname: Likhith
authors.forename: A
authors.initials: A
authors.lastname: Golash
mesh_terms: D013354:Empyema, Subdural / Q000209:etiology / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011425:Propionibacterium acnes; D014057:Tomography, X-Ray Computed