Diagnosis and management of subdural empyema with negative cultures: The value of magnetic resonance imaging and early surgical
Quoc Phuong Nguyen, Duy Thanh Doan, Thi Thu Huong Dinh · 2026
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Description
Quoc Phuong Nguyen, Duy Thanh Doan, and Thi Thu Huong Dinh report a brain infection case where all cultures came back empty, in a 2026 study. Subdural empyema, pus under the skull lining, is a surgical emergency that kills a share of 6 to 15 percent of patients by the range cited in the report.
Their patient was a 51-year-old man with chronic alcohol abuse, high fever of 39 degrees, severe headache, neck stiffness, and a dulled mind. Spinal fluid was thick with cells and protein yet grew nothing, like his blood, urine, and pus samples, though inflammation marks soared. A plain CT read the mass as an old blood clot, but surgery found frank pus. Drainage plus two antibiotics brought full recovery in 24 days, as reported. The case backs MRI and early surgery when cultures stay silent.
Catalog record
| CREATOR | Quoc Phuong Nguyen, Duy Thanh Doan, Thi Thu Huong Dinh |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 15980 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |