Late complications of Silastic duraplasty: low-virulence infections. Case report.

Abstract:

:The authors describe three patients with expanding hemorrhagic mass lesions who presented 13 to 18 years after undergoing Silastic duraplasty. In all patients, results of bacteriological cultures of the masses obtained intraoperatively were positive, revealing low-virulence bacteria. Two of the patients were treated with antibiotic drugs and made a good recovery. The third did not receive antibiotic medications initially and later developed an epidural empyema that necessitated reoperation, but subsequently made a complete recovery. Vascularized neomembranes are generally agreed to be causes of the expanding masses, but the possibility that patients could be harboring chronic infections must be considered. Thus, on removal of duraplasty materials a complete bacteriological culture should be obtained, and if it is positive the proper antibiotic therapy should be administered. Furthermore, the creation of a registry of patients who have received implants is advocated to facilitate tracking of implanted material in case of complications.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Ekseth K,Boström S

doi

10.3171/jns.1999.90.3.0559

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

559-62

issue

3

eissn

0022-3085

issn

1933-0693

journal_volume

90

pub_type

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