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Vol. 22. Issue 3.
Pages 264-266 (January 2011)
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Vol. 22. Issue 3.
Pages 264-266 (January 2011)
Recidiva de empiema subdural postquirúrgico
Postoperative recurrence of subdural empyema
Y. Romero-Pizarro
Servicios de Medicina Interna, Hospital Puerta de Hierro. Majadahonda. Madrid
M. Muñoz-Algarra*, C. Fernández-Mateos**, I. Sánchez-Romero*
* Servicios de Medicina Interna, Microbiología, Hospital Puerta de Hierro. Majadahonda. Madrid
** Servicios de Medicina Interna, Neurocirugía, Hospital Puerta de Hierro. Majadahonda. Madrid
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Resumen

Se presenta un caso de recidiva de infección postquirúrgica en forma de empiema subdural por Proprionibacterium acnes tras un primer empiema drenado en el que no se llegó al diagnóstico microbiológico. P acnes es un microorganismo gram positivo, anaerobio, que forma parte de la flora saprófita de la piel y de otras zonas del organismo. Sin embargo puede producir infecciones, entre otras localizaciones, en el sistema nervioso central (SNC), especialmente infecciones postquirúrgicas en las que puede llegar a ser el segundo germen en frecuencia después de Staphylococcus aureus. Es de crecimiento lento y suele crecer mejor en medios anaeróbicos líquidos. Suele ser resistente al metronidazol y sensible a penicilinas. En las infecciones postquirúrgicas del sistema nervioso central hay que tener en cuenta la posibilidad de este microorganismo, procesar las muestras de forma adecuada y mantenernos en contacto con el Servicio de Microbiología.

Palabras clave:
Proprionibacterium
Infección Postquirúrgica
Summary

We present a case of recurrent subdural post-surgical empyema by Proprionibacterium acnes after a first drained empyema in which no microbiological diagnosis was reached. P. acnes is a gram-positive anaerobic organism which is part of the saprophytic flora of the skin and others parts of the body. However, it can cause infections, as in the central nervous system, especially post-surgical infections in which can be the second more frequent organism after Staphylococcus aureus. P. acnes grows slowly and shows better growth in liquid anaerobic media. It is usually resistant to metronidazol and sensitive to penicillin. In postoperative central nervous system infections we must take into account the possibility of this organism, process the sample properly and keep touch with the Microbiology Department.

Key words:
Proprionibacterium
Postoperative infection

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