Management of infectious complications of a neglected craniocerebral wound in rural areas: about a case

Abstract

Infection remains a major risk of the opened traumatic brain injury due to cutaneous losses, osteitis, meningitis or collected cranio-encephalic suppurations that might occur in the evolution. We report the case of a 3 years old patient, admitted in our unit during September 2017 for an opened head trauma with initial loss of consciousness following motorbike-pedestrian traffic accident. The admission period was ten days. The diagnosis of an infected neglected opened trauma brain injury was made, and he benefited from medical and surgical treatment but the follow up was complicated by infection at various stages with several medico-surgical care. The evolution is finally favorable after 98 days in hospital. This observation portrays the difficulties of management of crânio-encephalic wounds in rural areas; the delay in consultation exposes to complications that are difficult to manage.

Keywords

• traumatic brain injury
• complications
• infection
• surgery