Fatal cerebritis and brain abscesses following a nontraumatic subdural hematoma in a chronic hemodialyzed patient.
Staphylococcus aureus is the leading cause of bacteremia in hemodialysis-dependent patients that can lead to metastatic abscesses with poor outcome. We report a case of a 65-year-old chronic hemodialyzed male patient who developed cerebritis and brain abscesses complicating a spontaneous subdural hematoma, following Staphylococcus aureus bacteremia related to infected arteriovenous fistula. In spite of adequate antibiotherapy and several surgical brain drainages, our patient did not survive. Prevention of S. aureus is highly important in hemodialysis patients.
Mesquita
Maria
M
Nephrology and Dialysis Clinic, CHU-Brugmann, Free University of Brussels, Brussels, Belgium. maria.mesquita@chu-brugmann.be
Damry
Nasroolla
N
Gazagnes
Marie D
MD
D000368:Aged; D016470:Bacteremia / Q000150:complications; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000382:microbiology*; D004660:Encephalitis / Q000000981:diagnostic imaging / Q000382:microbiology*; D017809:Fatal Outcome; D006408:Hematoma, Subdural / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D006435:Renal Dialysis; D013203:Staphylococcal Infections / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed