Salmonella-infected subdural haematoma

Infected subdural haematoma due to Salmonella enterica serovar Typhimurium in an adult

“…There are a limited number of reports that describe nontyphoidal Salmonella species as a cause of subdural empyema in both HIV and non-HIV patients; however, a majority of the case reports have been associated with paediatric patients (Aliaga et al, 1997;Boles et al, 1983;Buchanan et al, 1973;Chiu & Ou, 1999;Dill et al, 1995;Le Roux et al, 2007;Mahapatra et al, 2002;Rodriguez et al, 1986;Sawauchi et al, 1998;Vetrovec & Warner, 1975). Most of the reported cases in adults involve patients infected with HIV.…”

“…In addition to the cases reviewed by Sawauchi and co-workers, there were two case reports describing a subdural haematoma infected with nontyphoidal Salmonella species. Boles et al (1983) reported a 55-year-old alcoholic male with a post-traumatic chronic subdural haematoma infected with Salmonella Sandiego. Le Roux et al (2007) reported a 15-month-old male with a subdural haematoma infected by Salmonella Virchow, 3 months after an episode of acute gastroenteritis with a positive stool culture for Salmonella Virchow.…”

“…The suitable duration of antimicrobial therapy for a Salmonella-infected subdural haematoma after surgical evacuation is unknown. In previous case reports of Salmonella-infected subdural haematomas, antibiotics were administered for 4-6 weeks in addition to surgical drainage (Boles et al, 1983;Le Roux et al, 2007;Vetrovec & Warner, 1975). We treated our patient with surgical drainage and intravenous ceftriaxone (2 g per day) for 5 weeks without any recurrence for 18 months.…”

“…The most common central nervous system manifestation is Salmonella meningitis. Subdural empyema and infected subdural haematoma due to nontyphoidal Salmonella species have also been reported (Boles et al, 1983;Buchanan et al, 1973;Chiu & Ou, 1999;Dill et al, 1995;Le Roux et al, 2007;Mahapatra et al, 2002;Rodriguez et al, 1986;Sawauchi et al, 1998;Vetrovec & Warner, 1975); these are rare but important forms of infection. Intravenous antibiotics combined with prompt evacuation of the subdural collection is critical.…”

Bilateral salmonella salpingo-oophoritis

“…The endometriotic ovaries with the collection of stagnant blood would have been a likely site for the salmonellae to establish themselves. In this context it is interesting to note that Boles et al (1983) reported a case of post-traumatic chronic subdural haematoma, i.e. a collection of stagnant blood at another site, infected with Salmonella sandiego and reviewed four other cases of salmonella infected subdural haematomas.…”