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J Neurosci Rural Pract. 2019 Jan-Mar;10(1):148-150. doi: 10.4103/jnrp.jnrp_165_18.

Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature.

Author information

1
Department of Neurosciences, Hospital Aleman, Buenos Aires, Argentina.

Abstract

The authors describe a case of infratentorial epidural abscess caused by community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in a patient with a recent history of cutaneous furunculosis. This 29-year-old male presented with an occipital headache associated with fever, vomiting, and neck stiffness. Admission magnetic resonance imaging showed a retrocerebellar epidural abscess. Antimicrobial therapy was started, and the patient underwent craniectomy for evacuation of the abscess. Cultures of the surgical specimen were consistent with CA-MRSA. Postoperatively, the patient's condition improved with the resolution of symptoms, and he was discharged home with indication of 6 weeks of antibiotic therapy. Furunculosis is a very rare cause of intracranial epidural abscess but should be considered as a source of infection in an immunocompetent patient.

KEYWORDS:

Community-associated methicillin-resistant Staphylococcus aureus; furunculosis; infratentorial epidural abscess

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