Tubercular Subdural Empyema with Tubercular Abscess: Lessons Learnt

Tuberculosis (TB) is still one of the major health care problems in many developing countries. Among various forms of TB, central nervous system (CNS) TB causes significant morbidity and mortality. CNS TB can present in various forms: cerebritis, abscess, meningitis, tuberculoma, calcified granuloma...

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Main Authors: Rajkumar Pannem, Ridham Ashokbhai Kanderia, Rajnish Kumar Arora, Radhey Shyam Mittal
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2023-12-01
Series:Indian Journal of Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757207
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author Rajkumar Pannem
Ridham Ashokbhai Kanderia
Rajnish Kumar Arora
Radhey Shyam Mittal
author_facet Rajkumar Pannem
Ridham Ashokbhai Kanderia
Rajnish Kumar Arora
Radhey Shyam Mittal
author_sort Rajkumar Pannem
collection DOAJ
description Tuberculosis (TB) is still one of the major health care problems in many developing countries. Among various forms of TB, central nervous system (CNS) TB causes significant morbidity and mortality. CNS TB can present in various forms: cerebritis, abscess, meningitis, tuberculoma, calcified granuloma, meningitis, or hydrocephalus. But subdural empyema is a very rare form of presentation. Very few cases have been reported till now in the literature. So, high level of suspicion, thorough microbiological and histological investigations to diagnosis, and early and timely inception of anti-TB medication are keys in its management. Here, we are presenting a case of tubercular subdural empyema that was successfully treated with surgical evacuation and anti-TB medication.
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spelling doaj.art-551e6c330b7146d0a83c3e449ec5d8032023-12-12T23:52:57ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672023-12-01120325826210.1055/s-0042-1757207Tubercular Subdural Empyema with Tubercular Abscess: Lessons LearntRajkumar Pannem0https://orcid.org/0000-0003-0687-0544Ridham Ashokbhai Kanderia1Rajnish Kumar Arora2Radhey Shyam Mittal3Department of Neurosurgery, All India Institute of Medical Science (AIIMS), Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science (AIIMS), Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science (AIIMS), Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science (AIIMS), Rishikesh, Uttarakhand, IndiaTuberculosis (TB) is still one of the major health care problems in many developing countries. Among various forms of TB, central nervous system (CNS) TB causes significant morbidity and mortality. CNS TB can present in various forms: cerebritis, abscess, meningitis, tuberculoma, calcified granuloma, meningitis, or hydrocephalus. But subdural empyema is a very rare form of presentation. Very few cases have been reported till now in the literature. So, high level of suspicion, thorough microbiological and histological investigations to diagnosis, and early and timely inception of anti-TB medication are keys in its management. Here, we are presenting a case of tubercular subdural empyema that was successfully treated with surgical evacuation and anti-TB medication.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757207CNStuberculosissubdural empyematubercular abscess
spellingShingle Rajkumar Pannem
Ridham Ashokbhai Kanderia
Rajnish Kumar Arora
Radhey Shyam Mittal
Tubercular Subdural Empyema with Tubercular Abscess: Lessons Learnt
Indian Journal of Neurosurgery
CNS
tuberculosis
subdural empyema
tubercular abscess
title Tubercular Subdural Empyema with Tubercular Abscess: Lessons Learnt
title_full Tubercular Subdural Empyema with Tubercular Abscess: Lessons Learnt
title_fullStr Tubercular Subdural Empyema with Tubercular Abscess: Lessons Learnt
title_full_unstemmed Tubercular Subdural Empyema with Tubercular Abscess: Lessons Learnt
title_short Tubercular Subdural Empyema with Tubercular Abscess: Lessons Learnt
title_sort tubercular subdural empyema with tubercular abscess lessons learnt
topic CNS
tuberculosis
subdural empyema
tubercular abscess
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757207
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AT ridhamashokbhaikanderia tubercularsubduralempyemawithtubercularabscesslessonslearnt
AT rajnishkumararora tubercularsubduralempyemawithtubercularabscesslessonslearnt
AT radheyshyammittal tubercularsubduralempyemawithtubercularabscesslessonslearnt