A case of subdural empyema secondary to pyogenic meningitis in an infant

Subdural empyema (SDE) is a life-threatening infection, it accounts for about 15-22% of focal intracranial infections. It might be life threatening if not managed properly in infants and children. We report a case convulsions 14 mo-old infant who was admitted with a 1/52 history of body swelling, 3/7 history of fever, and 7105 with diagnosis of pyogenic meningitis. The cranial ultrasound scan (u/s) revealed bilateral subdural fluid collection, and features of cortical sulci thickening, sequelae of meningitis. She was put on IV antibiotics. Then three days later, the brain CT scan showed subdural fluid with right midline shift. But in view of persistent fever and the recurrence of convulsions, a repeat cranial u/s 13 days ago prior to the first revealed a subdural empyema, unfortunately 2 days later, the infant passed on.