The patient's onset date was reported as (b)(6) 2024 with purulent drainage from his superior incision.The patient reported possible head trauma 1 week prior, possibly from a nighttime seizure and waking up with a scalp laceration.The patient experienced pain when combing hair and then purulent discharge was observed two days prior to presenting to the emergency department.The patient also reported a headache, but no fever.There was frank purulent material above the rns battery and synthetic flap.There was purulent material beneath the flap.On (b)(6) 2024 the patient was initially given one dose of ceftriaxone and then underwent a right sided wound washout and revision, right sided craniectomy of prior synthetic implant and right sided removal of rns electrodes and neurostimulator.Treatment included ceftriaxone one dose prior to or, then continued on ceftriaxone and vancomycin.
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