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Intracranial abscess from facial cellulitis

Archives of Craniofacial Surgery 2019년 20권 5호 p.332 ~ 335
 ( Park Jong-Hyun ) - Chung-Ang University College of Medicine Chung-Ang University Hospital Department of Plastic and Reconstructive Surgery

 ( Kim Woo-Seob ) - Chung-Ang University College of Medicine Chung-Ang University Hospital Department of Plastic and Reconstructive Surgery
 ( Kim Han-Koo ) - Chung-Ang University College of Medicine Chung-Ang University Hospital Department of Plastic and Reconstructive Surgery
 ( Bae Tae-Hui ) - Chung-Ang University College of Medicine Chung-Ang University Hospital Department of Plastic and Reconstructive Surgery

Abstract


Cellulitis, one of most common diseases of everyday life, is often overlooked for its significance. Although cellulitis does not cause or lead to serious problems usually, its possibility to cause life-threatening problem should be known. In present case, a patient who had received acupuncture treatment a week earlier presented to the clinic with symptoms of facial cellulitis. The disease resolved within few weeks under empirical antibiotic treatment but recurred after 3 months. Under close history review of the patient, we found out that the patient had received craniectomy 20 years ago. The patient had blunt headache with no other neurological symptoms that could suspect cranial infection, but considering the risk originating from the patient’s surgical history, brain computed tomography (CT) was taken. CT images revealed abscess formation in the subgaleal and epidural spaces. Craniotomy with abscess evacuation was done promptly. With additional antibiotic treatment postoperatively, the disease resolved, and the 1-month postoperative follow-up brain CT showed no signs of abscess formation.

키워드

Acupuncture; Cellulitis; Empyema; Epidural abscess
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