| Brain abscesses in cyanotic heart disease. | |
| | |
MedLine Citation:
|
PMID: 8244485 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Sixty cases of brain abscesses in patients with cyanotic heart disease is reported. Forty four (73.3%) belonged to pediatric age group. There was only single case of infratentorial abscess located in the cerebellar paravermian region. The abscesses were multiloculated in 42%, multiple in 10% and solitary in 48% cases. Streptococci was the commonest (77%) micro-organism isolated from pus culture. Forty eight patients were treated by aspiration through twist drill, 7 patients conservatively and 5 had primary excision of abscesses. Forty four patients improved in their neurological status, three had fixed neurological deficits and 5 patients deteriorated further. There were 8 deaths. Complication like cyanotic spells was recorded in 17% cases treated by aspiration. None of the patients treated by twist drill aspiration had seizure. It is suggested that aspiration of abscesses through twist drill hole and antibiotic therapy could be the treatment of choice. Vascular slowing in a localised area resulting in infraction and thus preparing the focus for abscess formation is the possible mechanism in the evolution of these abscesses. |
| | |
Authors:
|
G K Prusty |
Related Documents
:
|
11105535 - Review of comparative studies between conventional and liposomal amphotericin b (ambiso... 832525 - Fosfomycin in the bacteriuria of paraplegic patients. 12166265 - Evidence-based infection control in thoracic surgery. 851135 - Unilateral tuboovarian abscess: a distinct entity. 23533445 - Immunological characteristics of hyperreactive malarial splenomegaly syndrome in sudane... 2983175 - Cytomegalovirus infection in the normal host. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Indian journal of pediatrics Volume: 60 ISSN: 0019-5456 ISO Abbreviation: Indian J Pediatr Publication Date: 1993 Jan-Feb |
Date Detail:
|
Created Date: 1993-12-30 Completed Date: 1993-12-30 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0417442 Medline TA: Indian J Pediatr Country: INDIA |
Other Details:
|
Languages: eng Pagination: 43-51 Citation Subset: IM |
Affiliation:
|
Department of Neurosurgery, Bokaro General Hospital, Bokaro Steel City. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Brain Abscess / etiology, therapy* Child Child, Preschool Heart Defects, Congenital / complications* Humans Infant Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Serodiagnosis of subacute sclerosing panencephalitis by enzyme linked immunosorbent assay.
Next Document: The profile and outcome of patients admitted to a pediatric intensive care unit.