Huge carbuncle of the neck with intracranial extension: a case report

Authors

  • Alaa Sedik Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia http://orcid.org/0000-0002-8815-2337
  • Muhammad Y. Rauf Department of Neurosurgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Mahmood Makhdoom Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Ihab Abdo Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Abdelhamid Harga Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Amir Suliman Department of Neurosurgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Abrar Hussein Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Hamza Ali Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Rasheed Altwiher Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Abdullah Alrashidi Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Wael Alanazi Department of General Surgery, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Salwa Elhoushy Department of Internal Medical, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Alaa Osman Department of Radiology, 5Department of Anesthesia, King Khalid Hospital Hail, KSA, Saudi Arabia
  • Mohamed Mostafa Department of Anesthesia, King Khalid Hospital Hail, KSA, Saudi Arabia

DOI:

https://doi.org/10.18203/2349-2902.isj20180851

Keywords:

Abscess, Carbuncle, Intracranial, Neck

Abstract

A carbuncle is a coalescence of several inflamed follicles into a single inflammatory mass with purulent drainage from multiple sinuses. They can develop in healthy individuals with no predisposing conditions or in immune-compromised ones. Author are presenting a case report of 57 years old Saudi presented with neglected huge carbuncle of the neck that was found complicated with intracranial extension in the posterior cranial fossa. He underwent successful simultaneous excision of the carbuncle and debridement of gross necrotic tissues; together with evacuation of the intracranial abscess. Both general and neurosurgical teams were involved. Patient made uneventful recovery and discharged home in good condition.

 

References

Stevens DL, Bisno AL, Chambers HF. Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis. 2005;41:1373.

Summanen PH, Talan DA, Strong C. Bacteriology of skin and soft-tissue infections: comparison of infections in intravenous drug users and individuals with no history of intravenous drug use. Clin Infect Dis. 1995;20:S279.

Ruhe JJ, Smith N, Bradsher RW, Menon A. Community-onset methicillin-resistant S. aureus skin and soft-tissue infections: impact of antimicrobial therapy on outcome. Clin Infect Dis. 2007;44:777.

Moran GJ, Krishnadasan A, Gorwitz RJ. Methicillin-resistant S. aureus infections among patients in the emergency department. N Engl J Med. 2006;355:666.

Iyer SP, Kadam P, Gore MA, Subramaniyan P. Excision of carbuncle with primary split-thickness skin grafting as a new treatment modality. Int Wound J. 2013;10(6):697-702.

Mohammad JA, Al-Ajmi S, Al-Rasheed AA. Surgical management of post carbuncle soft tissue defect in diabetic patients. Middle East J Fam Med. 2007;5:4.

Chou PY, Chen YC, Huang P. Forehead carbuncle with intractable headache. Neuropsychiatr Dis Treat. 2015;11:793-5.

Chelliah G, Hamzah AA, Ahmad MZ, Ahmad RS. Carbuncle of the chin: a case report and literature review. Libyan J Surg. 2013;2:839571.

Benfield T, Jensen JS, Nordestgaard BG. Influence of diabetes and hyperglycemia on infectious disease hospitalization and outcome. Diabetologia. 2006.

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Published

2018-02-26

Issue

Section

Case Reports