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January 1977

Subdural Empyema in an Infant Due to Group B β-Hemolytic Streptococcus

Author Affiliations

Departments of Surgery and Pediatrics Michael Reese Hospital and Medical Center 29th St and Ellis Ave Chicago, IL 60616

Am J Dis Child. 1977;131(1):97. doi:10.1001/archpedi.1977.02120140099016

Subdural empyema is a rare infection in children, and its association with group B Streptococcus has not been previously reported. This case is of further interest in that the pathogenesis is best explained by hematogenous infection of subdural hemato

Report of a Case.—A 4-month-old male infant born at 36 weeks' gestation had normal development until one day prior to admission to hospital, when fever, irritability, and poor feeding developed. A gradual increase in head size had been noted.

The temperature was 39.7 C; head circumference, 45 cm (> 97th percentile); and height, 60 cm (tenth percentile). The fontanelle was full and tense, with slight separation of the sutures and right occipital flattening. Transillumination of the skull was normal. Fundi were normal. Nuchal rigidity was present with positive Kernig and Brudzinski signs. Deep tendon reflexes were symmetrical and slightly increased. There was no evidence of sensory or motor dysfunction. Laboratory