MULTIPLE BRAIN ABSCESSES IN A NEW-BORN FOLLOWING AN UMBILICAL INFECTION

Hendrianto Setiajaya, . Aditya, . Agus Y, Djoko Riadi

Abstract


ABSTRACT
Objective: Brain abscess is a rare and dangerous condition in infants, usually solitary and
need surgical intervention. A case of multiple brain abscesses are very rare in the pediatric
age-group and surgical drainage is lifesaving.
Clinical Presentation: This is a report of one case of multiple brain abscesses in a 30 daysold
baby who presented with seizures and enlargement of head with history of umbilical
infection (omphalitis). Cerebro-cerebellar Computed Tomography (CT) scan and Magnetic
Resonance Imaging (MRI) reflect multiple abscesses in both hemispheres and posterior fossa.
Intervention: Surgical drainage of the abscesses was performed. Intrathecal vancomycin and
intravenous meropenem was given. The patient’s course was uneventful.
Conclusion: A case of multiple brain abscesses is rare and life-threatening, particularly in
children. Surgical drainage combined with specific antibiotic therapy is recommended in
these patients.

Keywords: newborn – multiple – brain - abscesses – infection - umbilical


References



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