A case of epidural abscess with cingulate herniation during the COVID-19 pandemic / COVID-19流行極期の発熱外来受診患者にみられた帯状回ヘルニアを合併した硬膜外膿瘍の1例
- Resource Type
- Journal Article
- Authors
- Hidetaka Sato; Kentaro Kuwamoto; Masatoshi Kitazono; Ryo Nishijima; Saori Kudo; 佐藤 秀貴; 北薗 雅敏; 工藤 小織; 桒本 健太郎; 西嶋 瞭
- Source
- 日本救急医学会関東地方会雑誌 / KANTO Journal of Japanese Association for Acute Medicine. 2023, 44(4):340
- Subject
- COVID-19
COVID-19感染症
cerebral herniation
intracranial epidural abscess
脳ヘルニア
頭蓋内硬膜外膿瘍
- Language
- Japanese
- ISSN
- 0287-301X
2434-2580
A 15-year-old man presented to the fever clinic on foot with a two-week fever and a headache during the COVID-19 pandemic. He tested positive for COVID-19 and his C-reactive peptide was elevated at 15.45 mg/dL. Although neurological examination was normal, CT and MRI showed a 34 mm right frontoparietal epidural abscess and an ischemia of corpus callosum. He was treated with intravenous antibiotics and evacuation of the subdural abscess. Postoperative course is uneventful. This case reminds us not to hesitate investigations for the patients who present to a fever clinic on foot.