title: Spontaneous Subdural Empyema Following a High-Parasitemia Falciparum Infection in a 58-Year-Old Female From a Malaria-Endemic Region: A Case Report.
abstract: Malaria remains a significant public health problem of the tropical world. Falciparum malaria is most prevalent in the sub-Saharan African region, which harbors about 90% of all malaria cases and fatalities globally. Infection by the falciparum species often manifests with a spectrum of multi-organ complications (eg, cerebral malaria), some of which are life-threatening. Spontaneous subdural empyema is a very rare complication of cerebral malaria that portends a very poor prognosis unless diagnosed and treated promptly. We report a case of spontaneous subdural empyema in a 58-year-old woman from Tanzania who presented with high-grade fever, decreased urine output, and altered sensorium.
authors.affiliation: Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.
authors.forename: Pedro
authors.initials: P
authors.lastname: Pallangyo
authors.affiliation: Muhimbili National Hospital, Dar es Salaam, Tanzania.
authors.forename: Frederick
authors.initials: F
authors.lastname: Lyimo
authors.affiliation: Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.
authors.forename: Paulina
authors.initials: P
authors.lastname: Nicholaus
authors.affiliation: Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.
authors.forename: Ulimbakisya
authors.initials: U
authors.lastname: Kain
authors.affiliation: Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Janabi
keywords: Plasmodium falciparum; cerebral malaria; falciparum malaria; severe malaria; spontaneous subdural empyema; sub-Saharan Africa