Subdural empyema natural history, complications and prognosis: Difference between revisions

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==Prognosis==
==Prognosis==
There may be identified some prognostic factors associated with Subdural Empyema:<ref name="AgrawalTimothy2007">{{cite journal|last1=Agrawal|first1=Amit|last2=Timothy|first2=Jake|last3=Pandit|first3=Lekha|last4=Shetty|first4=Lathika|last5=Shetty|first5=J.P.|title=A Review of Subdural Empyema and Its Management|journal=Infectious Diseases in Clinical Practice|volume=15|issue=3|year=2007|pages=149–153|issn=1056-9103|doi=10.1097/01.idc.0000269905.67284.c7}}</ref>
There may be identified some prognostic factors associated with subdural empyema: <ref name="AgrawalTimothy2007">{{cite journal|last1=Agrawal|first1=Amit|last2=Timothy|first2=Jake|last3=Pandit|first3=Lekha|last4=Shetty|first4=Lathika|last5=Shetty|first5=J.P.|title=A Review of Subdural Empyema and Its Management|journal=Infectious Diseases in Clinical Practice|volume=15|issue=3|year=2007|pages=149–153|issn=1056-9103|doi=10.1097/01.idc.0000269905.67284.c7}}</ref>
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Revision as of 06:21, 27 February 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; João André Alves Silva, M.D. [2]

Natural History

Complications

Prognosis

There may be identified some prognostic factors associated with subdural empyema: [1]

Unfavorable prognostic factors

  ▸  Presenting with encephalopathy or coma

  ▸  Younger than 10 years or elderly

  ▸  Late start of antibiotics

  ▸  Sterile cultures

Favorable prognostic factors

  ▸  Craniotomy instead of burr holes as surgical procedure

  ▸  Early treatment

  ▸  Young age (optimal between 10-20 years)

  ▸  Patient presents awake, alert and oriented

  ▸  Source of infection: paranasal sinuses

  ▸  Aerobic streptococci isolated in culture

  ▸  Aerobic streptococci as single pathogen

References

  1. Agrawal, Amit; Timothy, Jake; Pandit, Lekha; Shetty, Lathika; Shetty, J.P. (2007). "A Review of Subdural Empyema and Its Management". Infectious Diseases in Clinical Practice. 15 (3): 149–153. doi:10.1097/01.idc.0000269905.67284.c7. ISSN 1056-9103.

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