01 Februari 2008

Ilham presented: subdural empyema post chemoradiotherapy(crt) for nasopharyngeal Ca

The workup showed klebsiella pneumonie in blood identical with the urine culture. Statistic data revealed 5% gram negative rods, 95% staph, strepto or anaerobes as causative agent. Hematogenous seeding is suspected, facilitated by lowered immunity, damaged mucosal integrity, blood-brain barrier, lymphatics integrity of the head due to the crt. Early symptom alarming this developing complication is persistent drowsiness.

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