EIKENELLA-CORRODENS SKULL INFECTION - A CASE-REPORT WITH REVIEW OF THE LITERATURE

BACKGROUND Subgaleal abscesses and skull osteomyelitis are very uncomm on since the introduction of antibiotics. Eikenella corrodens infectio n is extremely rare in childhood and has never been reported in calvar ial osteomyelitis. METHODS We present a previously healthy 9-year-old boy, with a history of frontal contusion without injury, who developed E corrodens osteomyelitis of the skull. The radiographic findings are reviewed, including skull films and computed tomographic scans. The p atient underwent surgical debridement of the lesion, as well as system ic medical therapy with amoxicillin. We review the medical and surgica l therapy for such lesions. The differential diagnosis of a posttrauma tic scalp swelling is also reviewed. RESULTS Good resolution after deb ridement and antibiotic therapy is reported. CONCLUSIONS Surgical inte rvention is emphasized for the removal of bony sequestrum and nonviabl e bone while maintaining an intact dura.