The Pediatric Headache That Would Not Go Away
ABSTRACTWe describe the clinical presentation, radiographic findings, management, and outcome of a subdural empyema in a 14-year-old male with history of recent partially treated acute sinusitis. Subdural empyema is a rare but life threatening complication, usually following paranasal sinusitis, oti...
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| Veröffentlicht in: | Pediatric emergency care 2013-12, Vol.29 (12), p.1283-1286 |
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| creator | Dunn, Bryan McCalla, Chad Hiestand, Brian O’Brien, Mary Claire |
| description | ABSTRACTWe describe the clinical presentation, radiographic findings, management, and outcome of a subdural empyema in a 14-year-old male with history of recent partially treated acute sinusitis. Subdural empyema is a rare but life threatening complication, usually following paranasal sinusitis, otitis media, mastoiditis, cranial surgery, a skull fracture, or from distant spread from sites such as a pulmonary infection. The initial evaluation should include a thorough history and physical examination, complete blood count, electrolytes, C-reactive protein, erythrocyte sedimentation rate, chest x-ray, urinalysis, and neuroimaging of the brain with intravenous contrast. If a subdural empyema is identified, then intravenous antibiotics should be initiated, and immediate neurosurgical consultation should be obtained to consider operative drainage. |
| doi_str_mv | 10.1097/PEC.0000000000000035 |
| format | Article |
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Subdural empyema is a rare but life threatening complication, usually following paranasal sinusitis, otitis media, mastoiditis, cranial surgery, a skull fracture, or from distant spread from sites such as a pulmonary infection. The initial evaluation should include a thorough history and physical examination, complete blood count, electrolytes, C-reactive protein, erythrocyte sedimentation rate, chest x-ray, urinalysis, and neuroimaging of the brain with intravenous contrast. If a subdural empyema is identified, then intravenous antibiotics should be initiated, and immediate neurosurgical consultation should be obtained to consider operative drainage.</description><identifier>ISSN: 0749-5161</identifier><identifier>EISSN: 1535-1815</identifier><identifier>DOI: 10.1097/PEC.0000000000000035</identifier><identifier>PMID: 24300473</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Anti-Bacterial Agents - therapeutic use ; Bacteremia - diagnosis ; Bacteremia - drug therapy ; Consciousness Disorders - etiology ; Diagnostic Errors ; Emergency Service, Hospital ; Empyema, Subdural - complications ; Empyema, Subdural - diagnosis ; Empyema, Subdural - microbiology ; Empyema, Subdural - therapy ; Fever - etiology ; Frontal Sinusitis - complications ; Frontal Sinusitis - diagnostic imaging ; Frontal Sinusitis - microbiology ; Gram-Positive Bacterial Infections - diagnosis ; Gram-Positive Bacterial Infections - etiology ; Gram-Positive Bacterial Infections - therapy ; Headache - etiology ; Hematoma, Subdural - diagnosis ; Humans ; Male ; Migraine Disorders - diagnosis ; Peptostreptococcus - isolation & purification ; Tomography, X-Ray Computed</subject><ispartof>Pediatric emergency care, 2013-12, Vol.29 (12), p.1283-1286</ispartof><rights>2013 Lippincott Williams & Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3520-edf76d10a632ff12c889057c0c43f936ffbf467adfb35c2b66f62e0d26a5ce5f3</citedby><cites>FETCH-LOGICAL-c3520-edf76d10a632ff12c889057c0c43f936ffbf467adfb35c2b66f62e0d26a5ce5f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24300473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dunn, Bryan</creatorcontrib><creatorcontrib>McCalla, Chad</creatorcontrib><creatorcontrib>Hiestand, Brian</creatorcontrib><creatorcontrib>O’Brien, Mary Claire</creatorcontrib><title>The Pediatric Headache That Would Not Go Away</title><title>Pediatric emergency care</title><addtitle>Pediatr Emerg Care</addtitle><description>ABSTRACTWe describe the clinical presentation, radiographic findings, management, and outcome of a subdural empyema in a 14-year-old male with history of recent partially treated acute sinusitis. Subdural empyema is a rare but life threatening complication, usually following paranasal sinusitis, otitis media, mastoiditis, cranial surgery, a skull fracture, or from distant spread from sites such as a pulmonary infection. The initial evaluation should include a thorough history and physical examination, complete blood count, electrolytes, C-reactive protein, erythrocyte sedimentation rate, chest x-ray, urinalysis, and neuroimaging of the brain with intravenous contrast. If a subdural empyema is identified, then intravenous antibiotics should be initiated, and immediate neurosurgical consultation should be obtained to consider operative drainage.</description><subject>Adolescent</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Bacteremia - diagnosis</subject><subject>Bacteremia - drug therapy</subject><subject>Consciousness Disorders - etiology</subject><subject>Diagnostic Errors</subject><subject>Emergency Service, Hospital</subject><subject>Empyema, Subdural - complications</subject><subject>Empyema, Subdural - diagnosis</subject><subject>Empyema, Subdural - microbiology</subject><subject>Empyema, Subdural - therapy</subject><subject>Fever - etiology</subject><subject>Frontal Sinusitis - complications</subject><subject>Frontal Sinusitis - diagnostic imaging</subject><subject>Frontal Sinusitis - microbiology</subject><subject>Gram-Positive Bacterial Infections - diagnosis</subject><subject>Gram-Positive Bacterial Infections - etiology</subject><subject>Gram-Positive Bacterial Infections - therapy</subject><subject>Headache - etiology</subject><subject>Hematoma, Subdural - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Migraine Disorders - diagnosis</subject><subject>Peptostreptococcus - isolation & purification</subject><subject>Tomography, X-Ray Computed</subject><issn>0749-5161</issn><issn>1535-1815</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkF1LwzAUhoMobk7_gUgvvck8SZq0vRxDN2HoLiZehjQftNrZmbSM_Xujm4oeOBzOx_seeBC6JDAmUGQ3y9vpGP4E40doSDjjmOSEH6MhZGmBORFkgM5CeAGIS8ZO0YCmDCDN2BDhVWWTpTW16nytk7lVRuk4WlWqS57bvjHJQ9slszaZbNXuHJ041QR7cagj9HR3u5rO8eJxdj-dLLBmnAK2xmXCEFCCUecI1XleAM806JS5ggnnSpeKTBlXMq5pKYQT1IKhQnFtuWMjdL333fj2vbehk-s6aNs06s22fZAkFZzklAuIp-n-VPs2BG-d3Ph6rfxOEpCfoGQEJf-DirKrw4e-XFvzI_om8-u7bZvO-vDa9FvrZWVV01VffoILjikQRmjscEwC7AN9wnBL</recordid><startdate>201312</startdate><enddate>201312</enddate><creator>Dunn, Bryan</creator><creator>McCalla, Chad</creator><creator>Hiestand, Brian</creator><creator>O’Brien, Mary Claire</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201312</creationdate><title>The Pediatric Headache That Would Not Go Away</title><author>Dunn, Bryan ; McCalla, Chad ; Hiestand, Brian ; O’Brien, Mary Claire</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3520-edf76d10a632ff12c889057c0c43f936ffbf467adfb35c2b66f62e0d26a5ce5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Bacteremia - diagnosis</topic><topic>Bacteremia - drug therapy</topic><topic>Consciousness Disorders - etiology</topic><topic>Diagnostic Errors</topic><topic>Emergency Service, Hospital</topic><topic>Empyema, Subdural - complications</topic><topic>Empyema, Subdural - diagnosis</topic><topic>Empyema, Subdural - microbiology</topic><topic>Empyema, Subdural - therapy</topic><topic>Fever - etiology</topic><topic>Frontal Sinusitis - complications</topic><topic>Frontal Sinusitis - diagnostic imaging</topic><topic>Frontal Sinusitis - microbiology</topic><topic>Gram-Positive Bacterial Infections - diagnosis</topic><topic>Gram-Positive Bacterial Infections - etiology</topic><topic>Gram-Positive Bacterial Infections - therapy</topic><topic>Headache - etiology</topic><topic>Hematoma, Subdural - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Migraine Disorders - diagnosis</topic><topic>Peptostreptococcus - isolation & purification</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dunn, Bryan</creatorcontrib><creatorcontrib>McCalla, Chad</creatorcontrib><creatorcontrib>Hiestand, Brian</creatorcontrib><creatorcontrib>O’Brien, Mary Claire</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric emergency care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dunn, Bryan</au><au>McCalla, Chad</au><au>Hiestand, Brian</au><au>O’Brien, Mary Claire</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Pediatric Headache That Would Not Go Away</atitle><jtitle>Pediatric emergency care</jtitle><addtitle>Pediatr Emerg Care</addtitle><date>2013-12</date><risdate>2013</risdate><volume>29</volume><issue>12</issue><spage>1283</spage><epage>1286</epage><pages>1283-1286</pages><issn>0749-5161</issn><eissn>1535-1815</eissn><abstract>ABSTRACTWe describe the clinical presentation, radiographic findings, management, and outcome of a subdural empyema in a 14-year-old male with history of recent partially treated acute sinusitis. Subdural empyema is a rare but life threatening complication, usually following paranasal sinusitis, otitis media, mastoiditis, cranial surgery, a skull fracture, or from distant spread from sites such as a pulmonary infection. The initial evaluation should include a thorough history and physical examination, complete blood count, electrolytes, C-reactive protein, erythrocyte sedimentation rate, chest x-ray, urinalysis, and neuroimaging of the brain with intravenous contrast. If a subdural empyema is identified, then intravenous antibiotics should be initiated, and immediate neurosurgical consultation should be obtained to consider operative drainage.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>24300473</pmid><doi>10.1097/PEC.0000000000000035</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Anti-Bacterial Agents - therapeutic use Bacteremia - diagnosis Bacteremia - drug therapy Consciousness Disorders - etiology Diagnostic Errors Emergency Service, Hospital Empyema, Subdural - complications Empyema, Subdural - diagnosis Empyema, Subdural - microbiology Empyema, Subdural - therapy Fever - etiology Frontal Sinusitis - complications Frontal Sinusitis - diagnostic imaging Frontal Sinusitis - microbiology Gram-Positive Bacterial Infections - diagnosis Gram-Positive Bacterial Infections - etiology Gram-Positive Bacterial Infections - therapy Headache - etiology Hematoma, Subdural - diagnosis Humans Male Migraine Disorders - diagnosis Peptostreptococcus - isolation & purification Tomography, X-Ray Computed |
| title | The Pediatric Headache That Would Not Go Away |
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