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Subdural Empyema in a 5 Month Old following E. coli Meningitis

Cornicelli Matt and R. Alexander Blackwood

Subdural empyema can be a rare complication of bacterial meningitis or an infected subdural hematoma. Reported here is a case of a 5 month old boy Ethiopian adoptee, with a suspected subdural hematoma that was discovered to have a subdural empyema culture positive for a multi-drug resistant E. coli. The child was managed successfully with three washout procedures and 8 weeks of meropenem. We present this case and a review of the literature on subdural empyema in pediatrics.