title: Chronic subdural empyema and cranial vault osteomyelitis due to Salmonella paratyphi A.
abstract: Intracranial infections, especially subdural empyema, due to salmonella are rare. Subdural empyema caused by Salmonella paratyphi A has been documented only once earlier in the literature. Hence, we report a case of subdural empyema and osteomyelitis of cranial vault due to S. paratyphi A. A 42- year-old male presented with headache and purulent discharge from right parietal burr hole wound site. Patient gave a history of head injury two years ago. He underwent burr hole evacuation of chronic subdural haematoma, excision of outer membrane and right parietal craniectomy. The cultures grew S. paratyphi A. Recovery was uneventful following surgical intervention and antibiotic therapy.
authors.affiliation: Department of Microbiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala 682 026, India.
authors.forename: P
authors.initials: P
authors.lastname: Bhooshan
authors.forename: S
authors.initials: S
authors.lastname: Shivaprakasha
authors.forename: K R
authors.initials: KR
authors.lastname: Dinesh
authors.forename: M
authors.initials: M
authors.lastname: Kiran
authors.forename: Pms
authors.initials: P
authors.lastname: Karim
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D013354:Empyema, Subdural / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D010284:Paratyphoid Fever / Q000175:diagnosis* / Q000382:microbiology; D012482:Salmonella paratyphi A / Q000302:isolation & purification*; D012886:Skull / Q000382:microbiology* / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents