Clin Case Rep Int | Volume 3, Issue 1 | Case Report | Open Access

Subdural Empyema by Streptococcus pyogenes after Epidural Anesthesia

Tovar IC1*, Alonso LG1, Romero MC1, Vergara LL1, Heredia CMG1, Bollada MB1, González IG1, Andériz FO1, Rey CP1, Hernández CP1, González MA1, Malpica AB1 and Trondin A2

1Department of Neurocritical Intensive Care, Hospital Clinico San Carlos, Spain 2Department of Neurosurgery, Hospital Clinico San Carlos, Spain

*Correspondance to: Tovar IC 

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Central nervous system infections may occur after performing an epidural or spinal puncture, although they are rare. As reported in different articles, the most common causative microorganism is Streptococcus, particularly those from the Viridans group. We present the case of a postpartum woman with an epidural empyema due to Streptococcus pyogenes, which is manifested with paraesthesia in the upper left limb and headache, so a nuclear magnetic resonance is performed where a right extra-axial frontal-parietal collection suggestive of subdural empyema is described. The patient was treated with broad-spectrum antibiotic therapy and underwent surgical removal, with a resolution of the clinical picture.


Tovar IC, Alonso LG, Romero MC, Vergara LL, Heredia CMG, Bollada MB, et al. Subdural Empyema by Streptococcus pyogenes after Epidural Anesthesia. Clin Case Rep Int. 2019;3:1118.

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