Date of Presentation
5-5-2022 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
Acute sinusitis in the pediatric population is a common presentation in the emergency department. Most cases are viral and can be managed conservatively and will resolve spontaneously in 7-10 days. Even in cases of bacterial sinusitis, patients can typically be discharged with oral antibiotics and close follow up with the pediatrician.
There is however a small subset of patients who will develop a rare lethal complication, an intracranial empyema. While the incidence in the developed world has decreased as antibiotics become more available, it is still estimated to occur in up to 5% of severe cases requiring hospitalization (1) . In this case report we present a 12 year old female who initially presented with viral upper respiratory symptoms that then was found to have a complex intracranial empyema as a direct complication of bacterial sinusitis.
Keywords
sinusitis, empyema, bacterial infections, Respiratory Tract Infections, subdural empyema, case reports, pediatrics
Disciplines
Bacterial Infections and Mycoses | Infectious Disease | Medicine and Health Sciences | Nervous System Diseases | Neurology | Pathological Conditions, Signs and Symptoms | Pediatrics | Respiratory Tract Diseases
Document Type
Poster
Included in
Bacterial Infections and Mycoses Commons, Infectious Disease Commons, Nervous System Diseases Commons, Neurology Commons, Pathological Conditions, Signs and Symptoms Commons, Pediatrics Commons, Respiratory Tract Diseases Commons
A Case of Intracranial Empyema after Bacterial Sinusitis
Acute sinusitis in the pediatric population is a common presentation in the emergency department. Most cases are viral and can be managed conservatively and will resolve spontaneously in 7-10 days. Even in cases of bacterial sinusitis, patients can typically be discharged with oral antibiotics and close follow up with the pediatrician.
There is however a small subset of patients who will develop a rare lethal complication, an intracranial empyema. While the incidence in the developed world has decreased as antibiotics become more available, it is still estimated to occur in up to 5% of severe cases requiring hospitalization (1) . In this case report we present a 12 year old female who initially presented with viral upper respiratory symptoms that then was found to have a complex intracranial empyema as a direct complication of bacterial sinusitis.