Palavras-chave
Como Citar
Resumo
El empiema subdural representa aproximadamente el 20% de las infecciones intracraneales localizadas, y puede ser de difícil diagnóstico, debido a su presentación poco específica. Dentro de estas, las infecciones del sistema nervioso central por Actinomyces son pocos comunes. El objetivo de este artículo es presentar un caso clínico de un paciente diagnosticado con empiema subdural actinomicótico. El paciente requirió manejo quirúrgico y el caso lo confirmaron estudios histopatológicos. Posteriormente, se manejó con tratamiento antibiótico y al término de la terapia mostró mejoría clínica, al recuperar totalmente su función normal y al responder satisfactoriamente al tratamiento instaurado. Continuó en seguimiento ambulatorio que no evidenció deterioro neurológico o paraclínico.
2. Haggerty CJ, Tender GC. Actinomycotic brain abscess and subdural empyema of odontogenic origin: Case report and review of the literature. J Oral Maxillof Surg. 2012;70(3). https://doi.org/10.1016/j.joms.2011.09.035
3. Bouziri A, Khaldi A, Smaoui H, Menif K, & Jaballah N B. (2011). Fatal subdural empyema caused by Streptococcus constellatus and Actinomyces viscosus in a child-Case report. Journal of Microbiology, Immunology and Infection, 44(5), 394–396. https://doi.org/10.1016/j.jmii.2010.03.002
4. Brook I. Actinomycosis: diagnosis and management. South Med J. 2008;101(10):1019-23. https://doi.org/10.1097/SMJ.0b013e3181864c1f
5. Louie JA, Kusske JA, Rush JL, Pribram HW. Aetinomyeotie subdural empyema. J Neurosurg. 1979;51:852-5.
6. Nithyanandam S, D’Souza O, Rao SS, Battu RR, George S. Rhinoorbitocerebral actinomycosis. Ophthalmic Plast Reconstr Surg. 2001;17(2):134-6. https://doi.org/10.1097/00002341-200103000-00012.
7. Smego RA Jr. Actinomycosis of the central nervous system. Rev Infect Dis. 1987;9(5):855-65.
8. Ismail NJ, Bot GM, Sahabi S, Aliu S, Usman B, Shilong DJ, et al. Subdural actinomycoma presenting as recurrent chronic subdural hematoma. Asian J Neurosurg. 2015;10(2):129-31. https://doi.org/10.4103/1793-5482.145051.
9. Akhaddar A, Elouennass M, Baallal H, Boucetta M. Focal intracranial infections due to actinomyces species in immunocompetent patients: diagnostic and therapeutic challenges. World Neurosurg. 2010;74(2-3):346-50. https://doi.org/10.1016/j.wneu.2010.05.029.
10. Cariati P, Cabello-Serrano A, Monsalve-Iglesias F, Román-Ramos M, García-Medina B. Meningitis and subdural empyema as complication of pterygomandibular space abscess upon tooth extraction. J Clin Exp Dent. 2016;18(4):469-72. https://doi.org/10.4317/jced.52916.
11. Bello Y, Ojeda P, Mosquera O, Martínez F, Lozano A. Actinomicosis del sistema nervioso central: presentación de caso. Rev Colomb Radiol. 2013;24(4):3827-31.
12. Vásquez J, Gómez C, Chiquillo A, Pescador L. Actinomicosis diseminada con compromiso de sistema nervioso central. Rev Chilena Infectol. 2017;34(6):598-602.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.