De Novo Subgaleal Abscess

The authors report a case of spontaneous subgaleal abscess formation in a 62-year-old woman without antecedent trauma or injury. She presented with occipital scalp pain and swelling which rapidly became generalized two days following recovery from an upper respiratory infection. Diagnosis was based...

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Main Authors: JP Schaefer, LJ Clein, JM Conly
Format: Article
Language:English
Published: Wiley 1992-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1992/652358
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author JP Schaefer
LJ Clein
JM Conly
author_facet JP Schaefer
LJ Clein
JM Conly
author_sort JP Schaefer
collection DOAJ
description The authors report a case of spontaneous subgaleal abscess formation in a 62-year-old woman without antecedent trauma or injury. She presented with occipital scalp pain and swelling which rapidly became generalized two days following recovery from an upper respiratory infection. Diagnosis was based on radiological examination and aspiration of the subgaleal space, which yielded a purulent exudate with a pure growth of Streptococcus pyogenes. Initial management with incision, drainage and parenteral antimicrobial therapy was not successful. Operative exploration of the subgaleal space revealed extensive necrosis of the galea aponeurotica, and bone curettings revealed microscopic evidence compatible with osteomyelitis. Management with debridement and excision of all necrotic tissue plus prolonged parenteral antimicrobials was successful. Subgaleal abscess formation without an overlying wound or previous trauma has not been reported previously.
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spelling doaj-art-722370580fbb43e387a91655ae960ee72025-02-03T00:59:26ZengWileyCanadian Journal of Infectious Diseases1180-23321992-01-0131303210.1155/1992/652358De Novo Subgaleal AbscessJP Schaefer0LJ Clein1JM Conly2Section of Infectious Diseases, Department of Medicine and Division of Neurosurgery, Department of Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaSection of Infectious Diseases, Department of Medicine and Division of Neurosurgery, Department of Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaSection of Infectious Diseases, Department of Medicine and Division of Neurosurgery, Department of Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaThe authors report a case of spontaneous subgaleal abscess formation in a 62-year-old woman without antecedent trauma or injury. She presented with occipital scalp pain and swelling which rapidly became generalized two days following recovery from an upper respiratory infection. Diagnosis was based on radiological examination and aspiration of the subgaleal space, which yielded a purulent exudate with a pure growth of Streptococcus pyogenes. Initial management with incision, drainage and parenteral antimicrobial therapy was not successful. Operative exploration of the subgaleal space revealed extensive necrosis of the galea aponeurotica, and bone curettings revealed microscopic evidence compatible with osteomyelitis. Management with debridement and excision of all necrotic tissue plus prolonged parenteral antimicrobials was successful. Subgaleal abscess formation without an overlying wound or previous trauma has not been reported previously.http://dx.doi.org/10.1155/1992/652358
spellingShingle JP Schaefer
LJ Clein
JM Conly
De Novo Subgaleal Abscess
Canadian Journal of Infectious Diseases
title De Novo Subgaleal Abscess
title_full De Novo Subgaleal Abscess
title_fullStr De Novo Subgaleal Abscess
title_full_unstemmed De Novo Subgaleal Abscess
title_short De Novo Subgaleal Abscess
title_sort de novo subgaleal abscess
url http://dx.doi.org/10.1155/1992/652358
work_keys_str_mv AT jpschaefer denovosubgalealabscess
AT ljclein denovosubgalealabscess
AT jmconly denovosubgalealabscess