Intracerebellar Penetrating Injury and Abscess Due to a Wooden Foreign Body. Case Report.

Abstract

A 4-year-old boy presented with chopstick penetration into the cerebellum via the temporal squamosa and tentorium cerebelli, which resulted in a cerebellar abscess 1.5 years after the injury. The neuroimaging appearance of the wooden chopstick were unusual, hyperdense on computed tomography, and isointense on T2-weighted and hypointense on T2-weighted magnetic resonance imaging. Abscess aspiration and continuous drainage was performed with real-time intraoperative ultrasound guidance. The chopstick fragment was surgically removed and the patient discharged with minor neurological deficits. Wooden foreign body may show changes in properties after a long period of intraparenchymal retention. Extra care is required to remove wooden foreign bodies because of the high risk of infection.

Brain Abscess Following Transorbital Penetrating Injury Due to Bamboo Fragments. Case Report.

“…Wooden bodies appear hypointense on both T 1 -and T 2 -weighted MR imaging in the acute stage 8) and isointense on T 1 -weighted MR imaging and hypointense on T 2 -weighted imaging in the chronic stage, suggesting that the fragment contained a lot of water. 9) The findings for the bamboo fragments in our case were similar.…”

Brainstem Abscess Due to Plant Foreign Body in a Dog

“…24 The most frequent microorganisms isolated from lesions because of migrating plant material are Streptococccus sp., Staphylococcus aureus, Pasteurella multocida, Actinomyces sp., and Nocardia sp. 1 Moreover, clinical symptoms may not present for several days, months, or even years after an injury.…”

Penetrating Injury of the Upper Cervical Spine by a Chopstick -Case Report-

“…Infectious complications occurred at various terms, even tens of years after the injury. 4,7,11) If a retained wood particle is overlooked, the chance of delayed infection will increase. 10) Thus, if a foreign body is broken into pieces during an accident, the retrieved foreign body must be carefully inspected to account for all fragments.…”