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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 310 - 313 (4page)
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Intracranial tuberculous subdural empyema (ITSE) is extremely rare. To our knowledge, only four cases of microbiologically confirmed ITSE have been reported in the English literature to date. Most cases have arisen in patients with pulmonary tuberculosis regardless of trauma. A 46-year-old man presented to the emergency department after a fall. On arrival, he complained of pain in his head, face, chest and left arm. He was alert and oriented. An initial neurological examination was normal. Radiologic evaluation revealed multiple fractures of his skull, ribs, left scapula and radius. Though he had suffered extensive skull fractures of his cranium, maxilla, zygoma and orbital wall, the sustained cerebral contusion and hemorrhage were mild. Eighteen days later, he suddenly experienced a general tonic-clonic seizure. Radiologic evaluation revealed a subdural empyema in the left occipital area that was not present on admission. We performed a craniotomy, and the empyema was completely removed. Microbiological examination identified Mycobacterium tuberculosis (M.tuberculosis). After eighteen months of anti-tuberculous treatment, the empyema disappeared completely. This case demonstrates that tuberculosis can induce empyema in patients with skull fractures. Thus, we recommend that M. tuberculosis should be considered as the probable pathogen in cases with posttraumatic empyema.
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등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Ansari MK / 2014 / Tuberculous brain abscess in an immunocompetent adolescent / J Nat Sci Biol Med 5:170~172
Banerjee AD / 2010 / Pediatric intracranial subdural empyema caused by Mycobacterium tuberculosis--a case report and review of literature / Childs Nerv Syst 26:1117~1120
Cayli SR / 2001 / An unusual presentation of neurotuberculosis : subdural empyema. Case report / J Neurosurg 94:988~991
Eftekhar B / 2004 / Prophylactic administration of ceftriaxone for the prevention of meningitis after traumatic pneumocephalus : results of a clinical trial / J Neurosurg 101:757~761
Katti MK / 2004 / Pathogenesis, diagnosis, treatment, and outcome aspects of cerebral tuberculosis / Med Sci Monit 10:RA215~RA229
Banerjee AD / 2010 / Pediatric intracranial subdural empyema caused by Mycobacterium tuberculosis--a case report and review of literature / Childs Nerv Syst 26:1117~1120
Cayli SR / 2001 / An unusual presentation of neurotuberculosis : subdural empyema. Case report / J Neurosurg 94:988~991
Eftekhar B / 2004 / Prophylactic administration of ceftriaxone for the prevention of meningitis after traumatic pneumocephalus : results of a clinical trial / J Neurosurg 101:757~761
Katti MK / 2004 / Pathogenesis, diagnosis, treatment, and outcome aspects of cerebral tuberculosis / Med Sci Monit 10:RA215~RA229
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