Role of anaerobic bacteria in subdural empyema. Report of four cases and review of 327 cases from the English literature.

Am J Med, 1975/1;58(1):99-104.

Yoshikawa TT, Chow AW, Guze LB

PMID: 234678

Impact factor: 5.928

Abstract
Anaerobic bacteria were isolated from the subdural space in all four cases of subdural empyema encountered over a 2 and a half year period. Only one aerobe was isolated in these cases. The bacteriology of subdural empyema was further analyzed from a review of 327 cases reported in the English literature. Anaerobes accounted for 12 per cent of 234 cases; In addition, 27 per cent of cases were reportedly "sterile." These data support our finding that anaerobic bacteria may play a far more important role in subdural empyema than was previously appreciated.
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