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Post Operative Cranial Wound Infection

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Neurosurgery

Abstract

F56, RH, heavy smoker, TIIDM on metformin, undergoes uneventful Right occipital craniotomy for breast Ca metastasis expressed with h/a and left sided hemianopia, 7 years earlier Right breast Ca 2010: mastectomy + node clearance + chemoradiotherapy (XRT for 6w then 18m herceptin), presents 6w post op with pus discharge from cranial wound, worsening h/a and low grade pyrexia, WBC 9.75, CRP 8.9, Na 132

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Abbreviations

Abx:

Antibiotics

Ca:

Cancer

CRP:

C reactive protein

CSF:

Cerebrospinal fluid

CTH:

Computed tomography head

h/a:

Headache

IV:

Intra venous

Mets:

Metastasis

MRI:

Magnetic resonance imaging

Na:

Sodium

PICC line:

Peripherally inserted central catheter

r/o:

Rule out

TIIDM:

Type 2 diabetes mellitus

WBC:

White blood cell count

XRT:

Radiotherapy

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Tolias, C.M., Giamouriadis, A., Hogg, F.R.A., Ghimire, P. (2019). Post Operative Cranial Wound Infection. In: Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98234-2_43

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  • DOI: https://doi.org/10.1007/978-3-319-98234-2_43

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98233-5

  • Online ISBN: 978-3-319-98234-2

  • eBook Packages: MedicineMedicine (R0)

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