Volume : II, Issue : VII, July - 2013

Neonatal aspergillus cerebellar abscess

Dr. Vaibhav N. Patel, Dr. Jignesh Panchal

Abstract :

Brain abscess is common in 4-8 year children and neonates. Mostly a complication associated with meningitis, sinusitis, or scalp infection. Common organisms associated with ain abscess are streptococci, h. influenza, etc. Citrobacter is the most common in neonates. Aspergillus infection is found in immunodeficiency.This case is a neonate that presented with fever and Vomiting for 2 days, convulsion and neuroimaging suggestive of cerebellar abscess with hydrocephalus. On pus culture aspergillus was isolated. Medical and surgical management was started accordingly and the neonate was showing improvement. Aspergillus infection is rare in neonates and with no evidence of any immunodeficiency. The prognosis is guarded with associated complication like hydrocephalus, developmental delay, behavioural problems seen in more than 50% of cases. Brain abscess, common in children and neonates. Although common causes include CHD with R-L shunts, meningitis, chronic otitis media and mastoiditis, soft tissue infection of the scalp. Brain abscesses in the cerebellum and ain stem account for about 20% of cases. Citrobacter is the most common bacteria responsible in neonates. The non specific symptoms of ain abscess, often makes the diagnosis difficult. A cerebellar abscess is characterized by nystagmus, ipsilateral ataxia and dysmetria, vomiting and headache, making it difficult to diagnose in neonates. In our case we represent a 9 day old case of cerebellar abscess with aspergillus infection, which is rarely encountered.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Vaibhav N.Patel, Dr. Jignesh Panchal Neonatal aspergillus cerebellar abscess International Journal of Scientific Research, Vol : 2, Issue : 7 July 2013

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