Pediatric intracranial subdural empyema caused by Mycobacterium tuberculosis—a case report and review of literature

Abstract

Intracranial tubercular subdural empyema in the pediatric age group is an extremely rare but curable entity.

Multidrug-resistant tuberculous subdural empyema with secondary methicillin-resistant Staphylococcus aureus infection: An unusual presentation of cranial tuberculosis in an infant

“…[1] The development of tuberculous subdural empyema has been reported only twice before in children, both of whom had prior exposure to M. tuberculosis through a primary infection or contact with another patient. [2,3] Our patient was unique in that there was neither past history of systemic TB nor was there any history of exposure to TB. It is known that TB in infants represents a sentinel event within a community suggesting recent transmission most commonly from an infectious adult with pulmonary TB.…”

“…Table 1 summarizes the pediatric cases of tuberculous subdural empyema reported in the English literature. [2,3] The global resurgence of TB has been fuelled by several factors including HIV infection, breakdown of TB control programs, overcrowding and MDR TB. [6] During the last decade, MDR TB has burgeoned in India, resulting in an extremely large number of these cases.…”

“…[1] Other infrequent presentations include tuberculous brain abscess and intracranial tuberculomas. Subdural empyema of tuberculous etiology has been reported only twice before in children [2,3] and once in an adult. [4] Management of patients with multidrug-resistant (MDR) TB is diffi cult and is associated with high morbidity and mortality.…”

Intracranial Tuberculous Subdural Empyema in a Child: Case Report

“…Meningitis, sigmoid sinus thrombosis, tuberculoma and abscesses are the more common complications associated with tuberculous otitis media. There are few reports of intracranial subdural empyema due to tuberculous bacilli [8][9][10].…”

Tuberculous brain abscess and subdural empyema in an immunocompetent child: Significance of AFB staining in aspirated pus

“…[67] Subdural empyema is an extra axial collection of pus, often associated with pyogenic abscess. The contrast-enhanced imaging showed a multiloculated subdural empyema in the right parafalcine region and a smaller collection in the right temporo-occipital region in this case.…”