Intracranial infections, especially subdural empyema, due to salmonella are rare. Subdural empyema caused by Salmonella paratyphi A has been documented only once earlier in the literature. Hence, we report a case of subdural empyema and osteomyelitis of cranial vault due to S. paratyphi A. A 42- year-old male presented with headache and purulent discharge from right parietal burr hole wound site. Patient gave a history of head injury two years ago. He underwent burr hole evacuation of chronic subdural haematoma, excision of outer membrane and right parietal craniectomy. The cultures grew S. paratyphi A. Recovery was uneventful following surgical intervention and antibiotic therapy.
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Article Synopsis
- A 40-year-old man with no prior health issues presented with a 5-day history of swelling behind his right ear, along with a previous episode of ear pain two months earlier.
- Examination and imaging revealed right otomastoiditis, which is an infection of the mastoid bone, along with serious complications like a bony defect and brain abscesses.
- After starting intravenous antibiotics and undergoing surgery to drain the abscess, he had a cortical mastoidectomy three weeks later and has had no further health complaints during regular follow-ups over the past six months.
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