Cerebral Abscess in Children Secondary to Esophageal Dilatation
Brain abscess is known to occur (1) as hematogenous or metastatic abscesses in normal individuals, (2) in children with cyanotic congenital heart disease,1,2 (3) secondary to sinus or mastoid infection,3-5 and (4) secondary to trauma. The following report of brain abscess in three children undergoing dilatation of the esophagus should alert the clinician to undertake a careful evaluation in any child developing neurologic dysfunction while undergoing esophageal dilatation. CASE REPORTS Case 1 A 4-month-old infant with congenital esophageal atresia had retrograde bougienage performed monthly. At the age of 2 months, after one of the dilatations, the child had had an episode of "suspected meningitis," but returned to normal within three days without therapy.