Summary
The computed tomography finding of diffuse pneumocephalus due to infection by gas-forming organisms is very unusual. We report such a case due to secondary infection byClostridium septicum in a child with diarrhoea-associated haemolytic uraemic syndrome.
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References
Markham JW (1967) The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases. Acta Neurochir (Wien) 16: 1–78
Azar-Kia B, Sarwar M, Batnitzky S, Schechter MM (1975) Radiology of intracranial gas. Am J Roentgenol 124: 315–323
Canavan L, Osborn RE (1991) Dual sinus air without head trauma or surgery: CT demonstration. J Comput Assist Tomogr 15: 526–527
Kloplenstein CE (1980) Pneumocephalus; a complication of continuous positive airway pressure after trauma. Chest 78: 656–657
David NJ, Gargano F, Parker WJ (1975) Spontaneous pneumoventriculogram following radiation of a pituitary adenoma. Neurology 25: 888–890
Coad NAG, Marshall T, Rowe B, Taylor CM (1991) Changes in the postenteropathic form of the hemolytic uremic syndrome in children. Clin Nephrol 35: 10–16
Morris KP, Coulthard MG, Mathews JNS (1991) Predicting outcome after childhood hemolytic uremic syndrome. Clin Nephrol 36: 263–264
Vickers D, Morris K, Coulthard MG, Eastham EJ (1988) Anal signs in the haemolytic uraemic syndrome. Lancet I: 998
Robson WLM, Leung AKC, Montgomery MD (1991) Causes of death in haemolytic uraemic syndrome. Child Nephrol Urol 11: 228–233
Hwang T, Fremaux R, Sears ES, MacFadyen B, Hills B, Mader JT, Peters B (1983) Confirmation of cerebral air embolism with computerized tomography. Ann Neurol 13: 214–215
Klein MA, Kelly JK, Jacobs IG (1989) Diffuse pneumocephalus fromClostridium perfringens meningitis: CT findings. AJNR 10: 447
Young RF, Frazee J (1984) Gas within intracranial abscess cavities: an indication for surgical excision. Ann Neurol 16: 35–39
Norrell H, Howieson J (1970) Gas-containing brain abscesses. Am J Roentgenol 109: 273–276
Morello A, Bettinazi N (1966) Brain abscess due to gas-bacillus infection. J Neurosurg 24: 752–754
Russell JA, Taylor JC (1963) Circumscribed gas gangrene abscess of the brain; case report together with an account of the literature. Br J Surg 50: 434–437
Finelli PF, Bergen R (1991) Spontaneous pneumocephalus with meningitis: CT demonstration. J Comput Assist Tomogr 15: 525–529
Tanaka T, Takagi D, Takeyama N, Kitazawa Y (1989) “Spontaneous” pneumocephalus associated with aerobic bateremia. Clin Imag 13: 134–139
Maliwan N (1985) “Spontaneous” pneumocephalus associated with mixed aerobic-anaerobic bacterial meningitis. J Infect Dis 152: 847–848
Kolbeinsson ME, Holder WD, Aziz S (1991) Recognition, management, and prevention ofClostridium septicum abscess in immunosuppressed patients. Arch Surg 126: 642–645
Koransky JR, Stargel MD, Dowell VR (1979)Clostridium septicum bacteremia: its clinical significance. Am J Med 66: 63–65
Schaaf RE, Jacobs N, Kelvin FM, Gallis HA, Akwari O, Thompson WM (1980)Clostridium septicum infection associated with colonic carcinoma and hematological abnormality. Radiology 137: 625–627
Gorse GJ, Slater LM, Sobol E, Kim RC, Wishnow RM, Cesario TC (1984) CNS infection and bacteremia due toClostridium septicum. Arch Neurol 41: 882–884
Roeltgen D, Shugar G, Towfighi J (1980) Cerebritis due toClostridium septicum. Neurology 30: 1314–1316
Alker GJ, Oh YS, Leslie EV, Lehotay J, Panaro VA, Escher EG (1975) Post mortem radiology of head and neck injuries in road traffic accidents. Radiology 114: 611–617
Crone KR, Lee KS, Moody DM, Kelly DL (1986) Superior sagittal sinus air after penetrating craniocerebral trauma. Surg Neurol 25: 276–278
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Randall, J.M., Hall, K. & Coulthard, M.G. Diffuse pneumocephalus due to Clostridium septicum cerebritis in haemolytic uraemic syndrome: CT demonstration. Neuroradiology 35, 218–220 (1993). https://doi.org/10.1007/BF00588500
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DOI: https://doi.org/10.1007/BF00588500