Cerebral Abscess in Children Secondary to Esophageal Dilatation

PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 300-301
Author(s):  
W. R. Leahy ◽  
K. V. Toyka ◽  
K. H. FischBeck

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.

PEDIATRICS ◽  
1973 ◽  
Vol 52 (5) ◽  
pp. 692-696
Author(s):  
Amnon Rosenthal ◽  
Kenneth E. Fellows

The prevalance and sequelae of infectious sinusitis in a hospitalized group of children with and without congenital heart disease (CHD) were studied. Sinusitis was more common (1% versus 0.3%) in the CHD group and occurred predominantly (90%) in the cyanotic patients. It was associated with subacute bacterial endocarditis in 20% (5 of 20) and brain abscess in 15% (3 of 20) of the CHD cases. It is postulated that proliferation and distension of the venous channels and marrow spaces in patients with cyanotic CHD enhances the hematogenous spread of bacteria from the paranasal sinuses.


PEDIATRICS ◽  
1974 ◽  
Vol 54 (1) ◽  
pp. 113-115
Author(s):  
J. B. Tingelstad ◽  
H. F. Young ◽  
R. B. David

An infant with a cyanotic congenital cardiac malformation and brain abscess is described. The rarity of this combination before age 2 years and the need for intensive treatment once it is recognized are stressed.


1967 ◽  
Vol 19 (1) ◽  
pp. 143
Author(s):  
Paul R. Minton ◽  
John H.K. Vogel ◽  
Ray Pryor ◽  
S.Gilbert Blount

2013 ◽  
Vol 29 (5) ◽  
pp. 236-242
Author(s):  
Jun Maeda ◽  
Yoshiyuki Furutani ◽  
Kei Inai ◽  
Shinji Oana ◽  
Hiroki Kajino ◽  
...  

2012 ◽  
Vol 20 (01) ◽  
pp. 030-033
Author(s):  
MUBARAK ALORAIJ

Objective: To evaluate the clinical presentation, diagnosis, sources of infection, surgical management outcome andmicroorganisms involved in the brain abscess in our locality. Period & Setting: This study was carried out in the department ofNeurosurgery, Aseer Central Hospital Abha, Southern Province, KSA from 1426 H – 1433 H (2005-2012 AD). Material and Methods: Atotal of 30 children aged less than 15 years were reviewed. There were 15 males and 15 females. The mean age of presentation was5.6±4.4 years. Results: Typically patients presented with fever, vomiting, headache and seizures. The predisposing conditions foundwere cyanotic congenital heart disease in 11 (37%) of children, meningitis in 6 (20%), septicemia in 7 (23%) and no underlying causewas found in 5 (17%) children. The most common microbe in children with cyanotic congenital heart disease was of the Streptococcusmilleri group (52%). All abscesses were large, more than 2 cm in diameter and were aspirated surgically. Excision was performed in 6children. Five children expired, one due to a intracranial bleeding and the others due to severe cerebral edema and tentorial herniation.Complications were seen in 20 children and 16 had sequelae, hemiparesis in 11 and seizure disorder in 5. Conclusions: It is concludedfrom the study that delayed surgical drainage has high morbidity and mortality. Diagnosis with CT scan, appropriate antibiotic therapy andcomplete aspiration of abscess reduced the mortality and neurological deficits from brain abscess.


2021 ◽  
Vol 6 (2) ◽  
pp. 1367-1371
Author(s):  
Siwi Bagus Ajiningrat ◽  
Nunik Agustriani

Background: The ductus omphalomecenterica is a normal embryological structure where it serves to connect the midgut of the fetus to the yolk sac. Usually, this ductus will disappear at 9 weeks gestation. However, if this condition does not occur, then it can cause various anomalies to appear in the fetus. Case Presentation: The patient was reported to be hospitalized with the chief complaint of choking. Echocardiography examination with the results of the examination found the presence of cyanotic congenital heart disease (CHD). The patient was referred to pediatric surgery with a diagnosis of persistent mesenteric duct omphalocele. Terminal ileum anastomoses resection laparotomy was performed. Conclusion: After surgery due to complications of pneumonia and sepsis, the patient died.


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