Publish in this journal
Journal Information
Vol. 46. Issue 3.
Pages 176 (March 2022)
Share
Share
Download PDF
More article options
Vol. 46. Issue 3.
Pages 176 (March 2022)
Images in Intensive Medicine
Full text access
Meningeal empyema
Empiema meningeo
Visits
...
N.A. Gemelli
Corresponding author
, N.M. Ciarrocchi, E. San Roman
Adult Intensive Care Department, Hospital Italiano de Buenos Aires, Argentina
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

A 72-year-old female patient with history of high blood pressure presented to the emergency with right hemiparesis, aphasia and seizures. Brain computed tomography did not find hemorrhagic lesions and brain magnetic resonance imaging showed no vascular lesions but revealed laminar subdural collection in the right parietal convexity with restriction on the diffusion sequence together with multiple areas of restriction in the subarachnoid space on the bihemispheric convexity (Fig. 1, Panel A and B). It evolved with Glasgow coma scale 8/15, fever and saturation 87% due to aspiration, proceeding to endotracheal intubation. Blood cultures and lumbar puncture were performed. It showed glucose 49mg/dl (serum glucose 484mg/dl), protein level of 946g/dl, leukocytes 3744/mm3 (95% neutrophils), 1.000erythrocytes/mm3. Blood and cerebrospinal fluid cultures revealed the presence of Streptococcus pneumoniae. Neurosurgical intervention was decided with craniectomy and drainage of meningeal empyema (Panel C). The patient completed 8 weeks of ceftriaxone with good clinical outcome.

Figure 1
(0.15MB).
Copyright © 2019. Elsevier España, S.L.U. and SEMICYUC
Idiomas
Medicina Intensiva (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?