| Cerebral abscess caused by Serratia marcescens in a premature neonate. | |
| | |
MedLine Citation:
|
PMID: 18094868 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Cerebral abscesses are extremely rare in neonates. Serratia marcescens is an unusual cause of sepsis and neurological spread is especially ominous. PURPOSE: To report the case of a 34-week neonate who developed this rare condition and to discuss diagnostic and therapeutic measures. CASE REPORT: A 34-week male neonate sequentially developed respiratory distress syndrome, early sepsis and necrotizing enterocolitis; later cultures revealed S. marcescens. After deterioration, a cerebral abscess became evident, which revealed S. marcescens. Clinical improvement ensued after high-dose amikacin and meropenem. CONCLUSION: Clinical signs are often non-specific. Proper diagnostic measures, neurosurgical consultation and aggressive antibiotic therapy are essential for these high-risk neonates. |
| | |
Authors:
|
Tatiana Mattos Hirooka; Ricardo Braganca de Vasconcellos Fontes; Edna Maria Diniz; Fernando Campos Pinto; Hamilton Matushita |
Related Documents
:
|
12520838 - Gemella empyema cured without antibiotics: a case report. 15353118 - Intramedullary abscess from group f streptococcus. 2134238 - Amoebic liver abscess rupturing into the chest: ultrasonographic appearance. 15213938 - Iliopsoas abscess in the neonate. 21393038 - Primary leiomyosarcoma of bone-a clinicopathologic study of 8 uncommon cases with immun... 16935188 - Sinoorbital mucormycosis due to apophysomyces elegans in immunocompetent individuals--a... |
Publication Detail:
|
Type: Case Reports; Journal Article; Review |
Journal Detail:
|
Title: Arquivos de neuro-psiquiatria Volume: 65 ISSN: 0004-282X ISO Abbreviation: Arq Neuropsiquiatr Publication Date: 2007 Dec |
Date Detail:
|
Created Date: 2007-12-20 Completed Date: 2008-06-02 Revised Date: 2009-11-11 |
Medline Journal Info:
|
Nlm Unique ID: 0125444 Medline TA: Arq Neuropsiquiatr Country: Brazil |
Other Details:
|
Languages: eng Pagination: 1018-21 Citation Subset: IM |
Affiliation:
|
Department of Pediatrics, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Amikacin
/
therapeutic use Anti-Bacterial Agents / therapeutic use Brain Abscess / diagnosis, drug therapy, microbiology* Diseases in Twins / diagnosis, drug therapy, microbiology* Humans Infant, Newborn Male Serratia Infections / diagnosis, drug therapy, microbiology* Serratia marcescens* Thienamycins / therapeutic use |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Bacterial Agents; 0/Thienamycins; 37517-28-5/Amikacin; 96036-03-2/meropenem |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Benign fasciculations responsive to gabapentin.
Next Document: Cerebellar abscess by Gemella morbillorum in a patient with inter-atrial communication.