Journal of the Korean Society of Neonatology  2011;18(2):399-403

doi:10.5385/jksn.2011.18.2.399

Giant Brain Abscess in a Neonate: Good Outcome with Single Transfontanelle Aspiration and Antibiotic Therapy.

Jin Hee KO 1 ; Yu Mi CHOI ; Kye Shik SHIM ; Chong Woo BAE ; Sa Jun CHUNG ; Jae Seung BANG ; Kyung Lim YOON

Affiliations

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Keywords

Brain abscess; Infant; Newborn; Enterobacter cloacae; Fine needle aspiration; Bacterial infections

Country

Republic of Korea

Language

English

Abstract

Brain abscesses in neonates are extremely rare and usually occur in patients with certain risk factors. A 1-month-old boy presented at the hospital with fever and irritability. As a result of preterm delivery and low birth weight, he had a history of admission to the neonatal intensive care unit. Neuroimaging revealed a large, space-occupying lesion in both frontal lobes, which was suspected to be an abscess with the midline shifting to the right. With a single aspiration and abscess drainage along with concurrent prolonged parenteral antibiotic therapy, the patient showed an excellent treatment outcome with normal development. The focus will be placed on minimally invasive surgical management as well as positive outcomes.