1 Department of Medicine and Preventive Medicine, Case Western Reserve University, School of Medicine, Cleveland, Ohio 44106
2 Medical Arts Building, Tenth and Mill Streets, Eugene, Oregon 97401
3 Department of Neurosurgery, University of Virginia, Charlottesville, Virginia 22901
A 13-year-old girl developed persistent and progressively severe headache 4 months after partial removal of a posterior fossa astrocytoma and subtotal gastrectomy for upper intestinal hemorrhage. Antibiotics and craniotomy were required to eliminate a subdural hematoma that had become infected, sometime in the interim, with Salmonella St. Paul.