Repeated intracranial empyema following cranioplasty in a patient with atopic dermatitis: a case report

Journal of Medical Case Reports

Yuki Sakaeyama¹  Shuhei Kubota¹  Masataka Mikai¹  Nobuo Sugo¹  Naoyuki Harada¹  Yutaka Fuchinoue¹  Masaaki Nemoto¹  Kosuke Kondo¹  Chie Nakada¹ 

[1] Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-Ku, 143-8541, Tokyo, Japan;

关键词: Atopic dermatitis;    Cranioplasty;    Surgical-site infection;    Staphylococcus aureus;   

DOI  :  10.1186/s13256-021-02898-z

来源: Springer

【 摘 要 】

BackgroundAtopic dermatitis is a chronic inflammatory skin disease associated with pruritus. Skin affected by atopic dermatitis not only shows a high percentage of Staphylococcus aureus colonization, but corneal barrier dysfunction is also known to occur. It is considered a risk factor for bacterial infections in various areas of the body. However, the relationship between atopic dermatitis and bacterial infection following neurological surgery has not yet been reported. Here, we present a case of atopic dermatitis in which the surgical site became infected twice and finally resolved only after the atopic dermatitis was treated.Case presentationA 50-year-old Japanese woman with atopic dermatitis underwent cerebral aneurysm clipping to prevent impending rupture. Postoperatively, she developed repeated epidural empyema following titanium cranioplasty. As a result of atopic dermatitis treatment with oral antiallergy medicines and external heparinoids, postoperative infection was suppressed by using an absorbable plastic plate for cranioplasty. The patient’s postoperative course was uneventful for 16 months.ConclusionsAtopic dermatitis is likely to cause surgical-site infection in neurosurgical procedures, and the use of a metal implant could promote the development of surgical-site infection in patients with dermatitis.

【 授权许可】

CC BY