Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report
We present a very rare case of a patient with an infected subdural hematoma due to Propionibacterium acnes. A 63-year-old male complained of dizziness and was admitted to our hospital. He had a history of left chronic subdural hematoma due to a traffic accident, which had been conservatively treated...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2015-01-01
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| Series: | Case Reports in Neurology |
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| Online Access: | http://www.karger.com/Article/FullText/371841 |
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| author | Shusuke Yamamoto Takashi Asahi Naoki Akioka Daina Kashiwazaki Naoya Kuwayama Satoshi Kuroda |
| author_facet | Shusuke Yamamoto Takashi Asahi Naoki Akioka Daina Kashiwazaki Naoya Kuwayama Satoshi Kuroda |
| author_sort | Shusuke Yamamoto |
| collection | DOAJ |
| description | We present a very rare case of a patient with an infected subdural hematoma due to Propionibacterium acnes. A 63-year-old male complained of dizziness and was admitted to our hospital. He had a history of left chronic subdural hematoma due to a traffic accident, which had been conservatively treated. Physical, neurological and laboratory examinations revealed no definite abnormality. Plain CT scan demonstrated a hypodense crescentic fluid collection over the surface of the left cerebral hemisphere. The patient was diagnosed with chronic subdural hematoma and underwent burr hole surgery three times and selective embolization of the middle meningeal artery, but the lesion easily recurred. Repeated culture examinations of white sedimentation detected P. acnes. Therefore, he underwent craniotomy surgery followed by intravenous administration of antibiotics. The infected subdural hematoma was covered with a thick, yellowish outer membrane, and the large volume of pus and hematoma was removed. However, the lesion recurred again and a low-density area developed in the left frontal lobe. Craniotomy surgery was performed a second time, and two Penrose drainages were put in both the epidural and subdural spaces. Subsequently, the lesions completely resolved and he was discharged without any neurological deficits. Infected subdural hematoma may be refractory to burr hole surgery or craniotomy alone, in which case aggressive treatment with craniotomy and continuous drainage should be indicated before the brain parenchyma suffers irreversible damage. |
| first_indexed | 2024-12-20T21:47:41Z |
| format | Article |
| id | doaj.art-72f8f93f866a47ab9b0160bd08b0d83c |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-20T21:47:41Z |
| publishDate | 2015-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-72f8f93f866a47ab9b0160bd08b0d83c2022-12-21T19:25:37ZengKarger PublishersCase Reports in Neurology1662-680X2015-01-017161410.1159/000371841371841Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case ReportShusuke YamamotoTakashi AsahiNaoki AkiokaDaina KashiwazakiNaoya KuwayamaSatoshi KurodaWe present a very rare case of a patient with an infected subdural hematoma due to Propionibacterium acnes. A 63-year-old male complained of dizziness and was admitted to our hospital. He had a history of left chronic subdural hematoma due to a traffic accident, which had been conservatively treated. Physical, neurological and laboratory examinations revealed no definite abnormality. Plain CT scan demonstrated a hypodense crescentic fluid collection over the surface of the left cerebral hemisphere. The patient was diagnosed with chronic subdural hematoma and underwent burr hole surgery three times and selective embolization of the middle meningeal artery, but the lesion easily recurred. Repeated culture examinations of white sedimentation detected P. acnes. Therefore, he underwent craniotomy surgery followed by intravenous administration of antibiotics. The infected subdural hematoma was covered with a thick, yellowish outer membrane, and the large volume of pus and hematoma was removed. However, the lesion recurred again and a low-density area developed in the left frontal lobe. Craniotomy surgery was performed a second time, and two Penrose drainages were put in both the epidural and subdural spaces. Subsequently, the lesions completely resolved and he was discharged without any neurological deficits. Infected subdural hematoma may be refractory to burr hole surgery or craniotomy alone, in which case aggressive treatment with craniotomy and continuous drainage should be indicated before the brain parenchyma suffers irreversible damage.http://www.karger.com/Article/FullText/371841Infected subdural hematomaCraniotomyPropionibacterium acnes |
| spellingShingle | Shusuke Yamamoto Takashi Asahi Naoki Akioka Daina Kashiwazaki Naoya Kuwayama Satoshi Kuroda Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report Case Reports in Neurology Infected subdural hematoma Craniotomy Propionibacterium acnes |
| title | Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report |
| title_full | Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report |
| title_fullStr | Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report |
| title_full_unstemmed | Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report |
| title_short | Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report |
| title_sort | chronic subdural hematoma infected by propionibacterium acnes a case report |
| topic | Infected subdural hematoma Craniotomy Propionibacterium acnes |
| url | http://www.karger.com/Article/FullText/371841 |
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