Open AccessAn unusual presentation of subdural empyema caused by Porphyromonas gingivalis
Author(s) -
Ahmed Daniyaal Rasheed,
Thana Khawchareonporn,
Sombat Muengtaweepongsa,
Siriwan Suebnukarn
Publication year - 2013
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.120447
Subject(s) - subdural empyema , medicine , empyema , sinusitis , porphyromonas gingivalis , presentation (obstetrics) , surgery , dermatology , dentistry , periodontitis
Subdural empyema is an uncommon clinical entity. The first case of Porphyromonas gingivalis subdural empyema is reported. We report a case of 34-year-old male who presented with subdural empyema and sinusitis. Through the utilization of polymerase chain reaction (PCR) tests on subdural pus, we were able to confirm the diagnosis and institute appropriate treatment. Early surgical intervention and intravenous antibiotics meant that the patient recovered fully. Infections caused by P. gingivalis should be considered in differential diagnoses of central nervous system (CNS) abscesses or subdural empyema especially in patients with precedent periodontal diseases and sinusitis.