{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:40:07Z","timestamp":1745764807147,"version":"3.40.4"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>This report describes a 2-month-old girl who developed a subdural empyema as a rare complication of meningococcal disease. The initial presentation was compatible with bacterial meningitis and sepsis and remarkable only for a lymphocytic pleocytosis of the cerebrospinal fluid (CSF), which was confirmed at a later occasion. After a week, when the patient continued to have fever, and subsequently developed focal seizure activity, MRI brain revealed a subdural empyema, necessitating craniectomy with a washout. Initial CSF and blood cultures were negative, but PCR analysis of the CSF from the primary lumbar puncture was positive for<jats:italic>Neisseria meningitidis<\/jats:italic>. She responded well to 6 weeks of intravenous meropenem and CT scan of the brain at the end of the treatment was normal. At 4-month follow-up, she was seizure-free with normal neurological examination and development.<\/jats:p>","DOI":"10.1136\/bcr.07.2010.3183","type":"journal-article","created":{"date-parts":[[2011,4,4]],"date-time":"2011-04-04T11:19:53Z","timestamp":1301915993000},"page":"bcr0720103183","source":"Crossref","is-referenced-by-count":1,"title":["A 2-month-old girl with bifrontal\/bitemporal meningococcal subdural empyema: complete radiological and clinical recovery after treatment"],"prefix":"10.1136","volume":"2011","author":[{"given":"Puneet Kumar","family":"Arora","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Alsford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,4,4]]},"reference":[{"key":"2025042707234931000_2011.mar31_1.bcr0720103183.1","first-page":"74","article-title":"Meningococcal meningitis complicated with subdural effusion: a report of two infant cases","volume":"1","author":"Perez-Pico","year":"2007","journal-title":"J Infect Dev Ctries"},{"key":"2025042707234931000_2011.mar31_1.bcr0720103183.2","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/00007611-198201000-00017","article-title":"Subdural empyema: an unusual complication of meningococcal meningitis.","volume":"75","author":"Edwards","year":"1982","journal-title":"South Med J"},{"key":"2025042707234931000_2011.mar31_1.bcr0720103183.3","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1212\/WNL.23.3.254","article-title":"Subdural empyema in infants, children and adults.","volume":"23","author":"Farmer","year":"1973","journal-title":"Neurology"},{"key":"2025042707234931000_2011.mar31_1.bcr0720103183.4","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.41.8.3851-3853.2003"},{"key":"2025042707234931000_2011.mar31_1.bcr0720103183.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1574-695X.2000.tb01473.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.07.2010.3183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:23:57Z","timestamp":1745763837000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.07.2010.3183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":5,"alternative-id":["10.1136\/bcr.07.2010.3183"],"URL":"https:\/\/doi.org\/10.1136\/bcr.07.2010.3183","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2011]]}}}