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Sinogenic subdural empyema and Streptococcus anginosus.

Publication ,  Journal Article
Hutchin, ME; Shores, CG; Bauer, MS; Yarbrough, WG
Published in: Arch Otolaryngol Head Neck Surg
November 1999

Subdural empyema (SDE) is most commonly caused by sinusitis and, without early diagnosis and neurosurgical intervention, is associated with high mortality. In a patient with sinusitis who presents with mental status changes, the diagnosis of SDE should be suspected on clinical grounds, even in the absence of significant computed tomographic findings. Computed tomography with contrast is a useful aid in the diagnosis of SDE, but findings may be subtle, and contrasted magnetic resonance imaging is superior. The association of Streptococcus anginosus sinusitis and related intracranial sequelae is important owing to the potentially catastrophic complications and should be recognized by otolaryngologists. In view of the rapidly progressing nature of sinogenic SDE, physicians should strongly consider early institution of aggressive therapy consisting of craniotomy with concurrent sinus drainage in patients in whom sinogenic SDE is suspected on clinical grounds, particularly in the presence of S. anginosus-positive sinus cultures.

Duke Scholars

Published In

Arch Otolaryngol Head Neck Surg

DOI

ISSN

0886-4470

Publication Date

November 1999

Volume

125

Issue

11

Start / End Page

1262 / 1266

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Streptococcus
  • Streptococcal Infections
  • Otorhinolaryngology
  • Maxillary Sinusitis
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Fatal Outcome
  • Ethmoid Sinusitis
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hutchin, M. E., Shores, C. G., Bauer, M. S., & Yarbrough, W. G. (1999). Sinogenic subdural empyema and Streptococcus anginosus. Arch Otolaryngol Head Neck Surg, 125(11), 1262–1266. https://doi.org/10.1001/archotol.125.11.1262
Hutchin, M. E., C. G. Shores, M. S. Bauer, and W. G. Yarbrough. “Sinogenic subdural empyema and Streptococcus anginosus.Arch Otolaryngol Head Neck Surg 125, no. 11 (November 1999): 1262–66. https://doi.org/10.1001/archotol.125.11.1262.
Hutchin ME, Shores CG, Bauer MS, Yarbrough WG. Sinogenic subdural empyema and Streptococcus anginosus. Arch Otolaryngol Head Neck Surg. 1999 Nov;125(11):1262–6.
Hutchin, M. E., et al. “Sinogenic subdural empyema and Streptococcus anginosus.Arch Otolaryngol Head Neck Surg, vol. 125, no. 11, Nov. 1999, pp. 1262–66. Pubmed, doi:10.1001/archotol.125.11.1262.
Hutchin ME, Shores CG, Bauer MS, Yarbrough WG. Sinogenic subdural empyema and Streptococcus anginosus. Arch Otolaryngol Head Neck Surg. 1999 Nov;125(11):1262–1266.

Published In

Arch Otolaryngol Head Neck Surg

DOI

ISSN

0886-4470

Publication Date

November 1999

Volume

125

Issue

11

Start / End Page

1262 / 1266

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Streptococcus
  • Streptococcal Infections
  • Otorhinolaryngology
  • Maxillary Sinusitis
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Fatal Outcome
  • Ethmoid Sinusitis