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
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.
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