Forgotten? Not Yet. Cardiogenic Brain Abscess in Children: A Case Series–Based Review

Udayakumaran, Suhas; Onyia, Chiazor U.; Kumar, Rajiv

doi:10.1016/j.wneu.2017.07.144

Cited by 31 publications

(36 citation statements)

References 19 publications

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“…Furthermore, the risk of this complication with a potentially grim outcome remains high during the interval between operations among those undergoing staged corrective operations. Udayakumaran et al reported that CCHD was the most common cause of brain abscesses in children [6]. Unresolved CCHD is a risk factor for the development, persistence, and recurrence of brain abscesses, which was also a risk factor for the brain abscess in the current case.…”

Section: Discussionmentioning

confidence: 53%

Brain Abscess Associated with Polymicrobial Infection after Intraoral Laceration: A Pediatric Case Report

Ochi

Tauchi

Miyata

et al. 2020

Case Reports in Pediatrics

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Brain abscesses, infections within the brain parenchyma, can arise as complications of various conditions including infections, trauma, and surgery. However, brain abscesses due to polymicrobial organisms have rarely been reported in children. We herein report a case of a 9-year-old girl with unresolved congenital cyanotic heart disease (CCHD) presenting with right hemiplegia who was diagnosed with brain abscess caused by Streptococcus intermedius, Parvimonas micra, and Fusobacterium nucleatum after oropharyngeal injury. She was treated with intravenous antimicrobial therapy, drainage under craniotomy, and antiedema therapy with glycerol and goreisan, which led to the improvement of right hemiplegia to baseline; she was discharged following eight weeks of intravenous antimicrobial therapy. e clinical diagnosis of the brain abscess was difficult due to the nonspecific presentation, highlighting the importance of cranial imaging without haste in patients at increased risk for brain abscesses such as those with CCHD, presenting with fever in the absence of localizing symptoms or fever, accompanied with abnormal neurological findings.

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Section: Discussionmentioning

confidence: 53%

Brain Abscess Associated with Polymicrobial Infection after Intraoral Laceration: A Pediatric Case Report

Ochi

Tauchi

Miyata

et al. 2020

Case Reports in Pediatrics

View full text Add to dashboard Cite

show abstract

“…In most series the debutant age for cardiogenic brain abscess is the first decade of life with a mean age of 7.19 years but older ages are also reported [1].…”

Section: Discussionmentioning

confidence: 99%

“…For the follow up of these patients, imaging studies (CT scan or MRI) should be done every 2 weeks until the 6th week of antibiotic treatment, after the surgical drainage or if the patient has neurologic deterioration [1]. For ambulatory follow up, it is recommended to do imaging studies 3 weeks after the antibiotic treatment is completed and every month until complete resolution is evident [1].…”

Section: Discussionmentioning

confidence: 99%

“…For ambulatory follow up, it is recommended to do imaging studies 3 weeks after the antibiotic treatment is completed and every month until complete resolution is evident [1]. Acute phase proteins should also be measured periodically.…”

Section: Discussionmentioning

confidence: 99%

“…Next to brain abscesses resulting from complications of chronic otitis or sinusitis, brain abscesses secondary to heart disease are the most frequent etiology with an incidence reported of 5 to18 % [1]. The pathophysiology is based on the right-to-left shunting present in cyanogenic cardiopathies that allows bacteria colonizing the airway to pass through the cerebral circulation [2].…”

Section: Introductionmentioning

confidence: 99%

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