Polymicrobial subdural empyema: involvement of Streptococcus pneumoniae revealed by lytA PCR and antigen detection

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Polymicrobial subdural empyema : involvement of Streptococcus pneumoniae revealed by lytA PCR and antigen detection. / Greve, Thomas; Clemmensen, Dorte; Ridderberg, Winnie; Pedersen, Lisbeth N; Møller, Jens K.

In: B M J Case Reports, Vol. 2011, 2011.

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Greve, Thomas ; Clemmensen, Dorte ; Ridderberg, Winnie ; Pedersen, Lisbeth N ; Møller, Jens K. / Polymicrobial subdural empyema : involvement of Streptococcus pneumoniae revealed by lytA PCR and antigen detection. In: B M J Case Reports. 2011 ; Vol. 2011.

Bibtex

@article{2692c9c5fa4644629c9555bce29b45ba,
title = "Polymicrobial subdural empyema: involvement of Streptococcus pneumoniae revealed by lytA PCR and antigen detection",
abstract = "The authors report a case of a subdural empyema (SDE) caused by a coinfection with Streptococcus intermedius and Streptococcus pneumoniae, initially considered a S. intermedius infection only. An otherwise healthy 11-year-old female was admitted to the hospital after 5 days of illness. Symptoms were consistent with classical SDE symptoms and progressed rapidly with finally somnolence before the first neurosurgical procedure despite relevant antibiotic treatment. Primary MRI showed an interhemispheric SDE and a postoperative control CT scan showed progression of the empyema infratentorially. The empyema was evacuated twice, day 8 and 18, with good results. Primary samples showed growth of S. intermedius only. The severity of the clinical picture elicited supplementary samples, which were additionally positive for S. pneumoniae by an in-house specific lytA PCR and/or a commercial antigen test.",
author = "Thomas Greve and Dorte Clemmensen and Winnie Ridderberg and Pedersen, {Lisbeth N} and M{\o}ller, {Jens K}",
year = "2011",
doi = "10.1136/bcr.09.2010.3344",
language = "English",
volume = "2011",
journal = "B M J Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

RIS

TY - JOUR

T1 - Polymicrobial subdural empyema

T2 - involvement of Streptococcus pneumoniae revealed by lytA PCR and antigen detection

AU - Greve, Thomas

AU - Clemmensen, Dorte

AU - Ridderberg, Winnie

AU - Pedersen, Lisbeth N

AU - Møller, Jens K

PY - 2011

Y1 - 2011

N2 - The authors report a case of a subdural empyema (SDE) caused by a coinfection with Streptococcus intermedius and Streptococcus pneumoniae, initially considered a S. intermedius infection only. An otherwise healthy 11-year-old female was admitted to the hospital after 5 days of illness. Symptoms were consistent with classical SDE symptoms and progressed rapidly with finally somnolence before the first neurosurgical procedure despite relevant antibiotic treatment. Primary MRI showed an interhemispheric SDE and a postoperative control CT scan showed progression of the empyema infratentorially. The empyema was evacuated twice, day 8 and 18, with good results. Primary samples showed growth of S. intermedius only. The severity of the clinical picture elicited supplementary samples, which were additionally positive for S. pneumoniae by an in-house specific lytA PCR and/or a commercial antigen test.

AB - The authors report a case of a subdural empyema (SDE) caused by a coinfection with Streptococcus intermedius and Streptococcus pneumoniae, initially considered a S. intermedius infection only. An otherwise healthy 11-year-old female was admitted to the hospital after 5 days of illness. Symptoms were consistent with classical SDE symptoms and progressed rapidly with finally somnolence before the first neurosurgical procedure despite relevant antibiotic treatment. Primary MRI showed an interhemispheric SDE and a postoperative control CT scan showed progression of the empyema infratentorially. The empyema was evacuated twice, day 8 and 18, with good results. Primary samples showed growth of S. intermedius only. The severity of the clinical picture elicited supplementary samples, which were additionally positive for S. pneumoniae by an in-house specific lytA PCR and/or a commercial antigen test.

U2 - 10.1136/bcr.09.2010.3344

DO - 10.1136/bcr.09.2010.3344

M3 - Journal article

C2 - 22707602

VL - 2011

JO - B M J Case Reports

JF - B M J Case Reports

SN - 1757-790X

ER -