Keywords
sinusitis, empyema, bacterial infections, Respiratory Tract Infections, subdural empyema, case reports, pediatrics
Date of Presentation
5-5-2022 12:00 AM
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.
Disciplines
Bacterial Infections and Mycoses | Infectious Disease | Medicine and Health Sciences | Nervous System Diseases | Neurology | Pathological Conditions, Signs and Symptoms | Pediatrics | Respiratory Tract Diseases
DOI
10.31986/issn.2689-0690_rdw.stratford_research_day.3_2022
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.