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Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature

The authors describe a case of infratentorial epidural abscess caused by community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in a patient with a recent history of cutaneous furunculosis. This 29-year-old male presented with an occipital headache associated with fever, vomiting...

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Autores principales: Menéndez, Ricardo Horacio, Erice, Santiago German, Vázquez, Emmanuel Alejandro, Breitburd, Karina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337977/
https://www.ncbi.nlm.nih.gov/pubmed/30765993
http://dx.doi.org/10.4103/jnrp.jnrp_165_18
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author Menéndez, Ricardo Horacio
Erice, Santiago German
Vázquez, Emmanuel Alejandro
Breitburd, Karina
author_facet Menéndez, Ricardo Horacio
Erice, Santiago German
Vázquez, Emmanuel Alejandro
Breitburd, Karina
author_sort Menéndez, Ricardo Horacio
collection PubMed
description The authors describe a case of infratentorial epidural abscess caused by community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in a patient with a recent history of cutaneous furunculosis. This 29-year-old male presented with an occipital headache associated with fever, vomiting, and neck stiffness. Admission magnetic resonance imaging showed a retrocerebellar epidural abscess. Antimicrobial therapy was started, and the patient underwent craniectomy for evacuation of the abscess. Cultures of the surgical specimen were consistent with CA-MRSA. Postoperatively, the patient's condition improved with the resolution of symptoms, and he was discharged home with indication of 6 weeks of antibiotic therapy. Furunculosis is a very rare cause of intracranial epidural abscess but should be considered as a source of infection in an immunocompetent patient.
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spelling pubmed-63379772019-02-14 Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature Menéndez, Ricardo Horacio Erice, Santiago German Vázquez, Emmanuel Alejandro Breitburd, Karina J Neurosci Rural Pract Case Report The authors describe a case of infratentorial epidural abscess caused by community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in a patient with a recent history of cutaneous furunculosis. This 29-year-old male presented with an occipital headache associated with fever, vomiting, and neck stiffness. Admission magnetic resonance imaging showed a retrocerebellar epidural abscess. Antimicrobial therapy was started, and the patient underwent craniectomy for evacuation of the abscess. Cultures of the surgical specimen were consistent with CA-MRSA. Postoperatively, the patient's condition improved with the resolution of symptoms, and he was discharged home with indication of 6 weeks of antibiotic therapy. Furunculosis is a very rare cause of intracranial epidural abscess but should be considered as a source of infection in an immunocompetent patient. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6337977/ /pubmed/30765993 http://dx.doi.org/10.4103/jnrp.jnrp_165_18 Text en Copyright: © 2019 Journal of Neurosciences in Rural Practice http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Menéndez, Ricardo Horacio
Erice, Santiago German
Vázquez, Emmanuel Alejandro
Breitburd, Karina
Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature
title Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature
title_full Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature
title_fullStr Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature
title_full_unstemmed Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature
title_short Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature
title_sort infratentorial epidural abscess secondary to furunculosis: case report and a review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337977/
https://www.ncbi.nlm.nih.gov/pubmed/30765993
http://dx.doi.org/10.4103/jnrp.jnrp_165_18
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