ArticleAnnals of medicine and surgery (2012)2026
Subdural empyema in a 14-year-old female initially diagnosed as meningitis: a case report of a rare
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Subdural empyema (SDE) is an uncommon, potentially life-threatening intracranial infection that can present with meningitis-like features, causing a diagnostic challenge. Case presentation: We report a previously healthy 14-year-old female who presented with acute severe headache, neck stiffness, photophobia, and vomiting following an upper respiratory illness with foul-smelling nasal discharge. Laboratory testing showed marked systemic inflammation (C-reactive protein >320 mg/L) and neutrophilia. Head CT demonstrated a right-sided 6-mm subdural collection with midline shift; magnetic resonance imaging confirmed a SDE with leptomeningeal enhancement and restricted diffusion. She underwent endoscopic sinus surgery and bilateral craniotomy for evacuation of the empyema with intracranial pressure monitoring; intraoperative cultures from the purulent collection grew Conclusion: This case highlights that SDE can mimic meningitis in adolescents and underscores the importance of suspecting SDE in the presence of focal neurological deficits in addition to meningeal signs. Early neuroimaging, prompt combined surgical source control (including sinus drainage), and culture-directed antimicrobial therapy are essential for favorable outcomes. Clinicians should consider
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.