CASE REPORT
Brain abscess as a complication of sinusitis in an 8-year-old female patient – case report
1
Student Scientific Association, Department of Pediatric Neurology, Medical University, Lublin, Poland
2
Department of Paediatric Neurology, Medical University, Lublin, Poland
3
Department of Pediatric Neurology, Department of Children's Neurology, University Children's Hospital in Lublin, Poland, Poland
Corresponding author
Sabina Maria Jóźwiak
Department of Paediatric Neurology, Student Scientific Association at the Department of Paediatric Neurology, Medical University, Profesora Antoniego Gębali 6, 20-093 Lublin, Poland
Department of Paediatric Neurology, Student Scientific Association at the Department of Paediatric Neurology, Medical University, Profesora Antoniego Gębali 6, 20-093 Lublin, Poland
J Pre Clin Clin Res. 2024;18(3):260-264
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Brain abscess is accumulation of pus in brain parenchyma. Predisposing factors include head trauma and spreading the inflammatory process from remote locations or from surroundings. The most common location is the frontal lobe. Frequent pathogens that cause paediatric BA are S. pneumoniae, viridans and S. aureus. Headache is a common symptom. The first imaging test performed is head CT. This is crucial for correct diagnosis and treatment. BA is a serious health problem, with a mortality rate up to 24%.
Case Report:
The medical history is presented of an 8-year-old female patient who was admitted to hospital in a serious general condition with non-specific symptoms. Imagining diagnostics showed inflammatory changes of the sinuses communicating with the right orbit and nasal cavity. Broad-spectrum antibiotic therapy was administered, but later the patient’s condition deteriorated. The lesion had progressed. She underwent endoscopic surgery, but a few days later her condition was again serious, despite regression in imaging studies.
Brain abscess is accumulation of pus in brain parenchyma. Predisposing factors include head trauma and spreading the inflammatory process from remote locations or from surroundings. The most common location is the frontal lobe. Frequent pathogens that cause paediatric BA are S. pneumoniae, viridans and S. aureus. Headache is a common symptom. The first imaging test performed is head CT. This is crucial for correct diagnosis and treatment. BA is a serious health problem, with a mortality rate up to 24%.
Case Report:
The medical history is presented of an 8-year-old female patient who was admitted to hospital in a serious general condition with non-specific symptoms. Imagining diagnostics showed inflammatory changes of the sinuses communicating with the right orbit and nasal cavity. Broad-spectrum antibiotic therapy was administered, but later the patient’s condition deteriorated. The lesion had progressed. She underwent endoscopic surgery, but a few days later her condition was again serious, despite regression in imaging studies.
Jóźwiak SM, Olbrot N, Miciuda P, Jerzak M, Sitek A, Bielak M, Chrościńska-Krawczyk M, Szukała K. Brain abscess as a complication of sinusitis in an 8-year-old female patient – case report. J Pre-Clin Clin Res. 2024; 18(3): 260–264. doi: 10.26444/jpccr/191262
REFERENCES (20)
1.
Antkowiak Ł, Putz M, Mandera M. CASE-BASED REVIEW Clinical features, microbiology, and management of pediatric brainstem abscess. Childs Nerv Syst. 2020;36(12):2919–2926. https://doi.org/10.1007/s00381....
2.
Mameli C, Genoni T, Madia C, et al. Brain abscess in pediatric age: a review. Child’s Nerv Syst. 2019;35(7):1117–1128. https://doi.org/10.1007/s00381....
3.
Corsini Campioli C, Castillo Almeida NE, O’Horo JC, et al. Diagnosis, management, and outcomes of brain abscess due to gram-negative versus gram-positive bacteria. Int J Infect Dis. 2022;115:189–194. https://doi.org/10.1016/j.ijid....
4.
Lajolo C, Favia G, Limongelli L, et al. Brain abscess of odontogenic origin in children: a systematic review of the literature with emphasis on therapeutic aspects and a new case presentation. Acta Otorhinolaryngol Ital. 2019;39(2):67–74. https://doi.org/10.14639/0392-....
5.
Bengio M, Goodwin G, Roka A, et al. Pediatric headache patient with cerebral abscesses: a brief review of the literature and case report. J Int Med Res. 2023;51(11):3000605231213751. https://doi.org/10.1177/030006....
6.
Xiang Q, Jiang C, Wen J, et al. Unusual presentation of brain abscess in a 23-month-old infant. Child’s Nerv Syst. 2021;37(1):305–309. https://doi.org/10.1007/s00381....
7.
Brook I. Microbiology and treatment of brain abscess. J Clin Neurosci. 2017;38:8–12. https://doi.org/10.1016/j.jocn....
8.
Suthar R, Sankhyan N. Bacterial Infections of the Central Nervous System. Indian J Pediatr. 2019;86(1):60–69. https://doi.org/10.1007/s12098....
9.
Thy M, Gaudemer A, d’Humières C, et al. Brain abscess in immunocompetent patients: recent findings. Curr Opin Infect Dis. 2022;35(3):238–245. https://doi.org/10.1097/QCO.00....
10.
Welkoborsky HJ, Pitz S, Grass S, et al. Sinogenic Orbital Complications. Dtsch Arztebl Int. 2022;119(3):31–37. https://doi.org/10.3238/arzteb....
11.
Patel NA, Garber D, Hu S, et al. Systematic review and case report: Intracranial complications of pediatric sinusitis. Int J Pediatr Otorhinolaryngol. 2016;86:200–212. https://doi.org/10.1016/j.ijpo....
12.
Fooanant S, Angkurawaranon S, Angkurawaranon C, et al. Sphenoid Sinus Diseases: A Review of 1,442 Patients. Int J Otolaryngol. 2017;2017:9650910. https://doi.org/10.1155/2017/9....
13.
Rivera K, Truckner R, Furiato A, et al. The Diagnostic Challenge of the Pediatric Brain Abscess. Cureus. 2021;13(6):e15402. https://doi.org/10.7759/cureus....
14.
Gómez-Gutiérrez AK, Morelos-Ulibarri A, Trejo-Ponce de Leon D, et al. Bacterial Brain Abscesses in a Patient With Transposition of the Great Arteries and Interventricular Communication. Cureus. 2023;15(10):e47119. https://doi.org/10.7759/cureus....
15.
Chen M, Low DCY, Low SYY, et al. Management of brain abscesses: where are we now?. Child’s Nerv Syst. 2018;34(10):1871–1880. https://doi.org/10.1007/s00381....
16.
Bodilsen J, D’Alessandris QG, Humphreys H, et al. European society of Clinical Microbiology and Infectious Diseases guidelines on diagnosis and treatment of brain abscess in children and adults. Clin Microbiol Infect. 2024;30(1):66–89. https://doi.org/10.1016/j.cmi.....
17.
Carney O, Falzon A, MacKinnon AD. Diffusion-weighted MRI in paediatric neuroimaging. Clin Radiol. 2018;73(12):999–1013. https://doi.org/10.1016/j.crad....
18.
Cobo F. Brain abscesses caused by anaerobic microorganisms: a systematic review. Rev Esp Quimioter. 2023;36(2):152–159. https://doi.org/10.37201/req/1....
19.
Bonfield CM, Sharma J, Dobson S. Pediatric intracranial abscesses. J Infect. 2015;71 Suppl 1:S42–S46. https://doi.org/10.1016/j.jinf....
20.
Ruiz-Barrera MA, Santamaría-Rodríguez AF, Zorro OF. Brain abscess: A narrative review. Neurol Perspect. 2022;2(3):160–7. https://doi.org/10.1016/j.neur....
Share
RELATED ARTICLE
| eISSN: | 1898-7516 |
| ISSN: | 1898-2395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
