SDC 1. Diagnosis, Treatment, and Patient Outcomes

SDC 1. Diagnosis, Treatment, and Patient Outcomes

Case / Physical Examination Findings / Diagnosis / Microbiology / Treatment / Neuro Status at Discharge / Long-term Complications
1 / Orbital cellulitis, neuro deficits / Epidural empyema / Not available / ABX, FESS / Normal / None
2 / Neuro deficits, seizure, altered consciousness / Epidural, subdural empyemas / S. milleri,
P. acnes,
S. aureus / ABX, FESS, craniotomy / Normal / None
3 / Orbital cellulitis, PPT, neuro deficits, altered consciousness / Epidural empyema / S. milleri / ABX, FESS / Normal / None
4 / Orbital cellulitis / Subdural empyema / Negative / ABX, FESS / Normal / Cholelithiasis and hepatitis from ceftriaxone
5 / PPT / Epidural, subdural empyemas, sagittal sinus thrombosis / S. milleri / ABX, ID, FESS, craniotomy / Normal / Infection of Broviac line
6 / Meningismus, neuro deficits, seizure / Subdural, interhemispheric empyemas / S. milleri / ABX, FESS, craniotomy / Hemiparesis, hyperreflexiveness / None
7 / Orbital cellulitis, PPT, neuro deficits, altered consciousness / Subdural empyema / S. milleri / ABX, FESS, craniotomy / Mild dysarthria, residual CN-VII palsy, mild hemiparesis / Infection of peripherally inserted central catheter (PICC) line
8 / Meningismus, orbital cellulitis, PPT, neuro deficits, seizure, altered consciousness / Epidural, subdural empyemas / P. acnes / ABX, FESS, craniotomy / Normal / None
9 / PPT / Subdural empyema / Not available / ABX, ID, FESS / Normal / Chronic maxillary and ethmoidalsinustitis requiring 2x more FESS
10 / PPT, neuro deficits, altered consciousness / Frontal lobe abscess / S. milleri / ABX, Craniotomy / Normal / None
11 / Orbital cellulitis / Epidural, intradural, interhemisphericempyemas / S. milleri,
P. acnes / ABX, FESS, craniotomy / Normal / None
12 / Neuro deficits, altered consciousness / Epidural empyema / Negative / ABX, FESS, craniotomy / Normal / Cholelithiasis, hepatitis, and pancreatitis from ceftriaxone
13 / Meningismus, neuro deficits, seizure / Subdural empyema / S. aureus,
P. acnes, F. necrophorum / ABX, FESS, craniotomy x2 / Mild hemiparesis, motor aphasia / None

PPT = Pott’s puffy tumor; ABX = antibiotics; FESS = functional endoscopic sinus surgery; ID = incision and drainage