Abstract
Results In the aforementioned period we registered 12 cases of bacterial brain abscesses in children. The female gender and the 8 to 14 age group have prevailed. 50% of cases presented a congenital heart defect, 25% untreated bacterial infections, 12.5% a history of craniocerebral injury and 12.5% presented no evident predisposing cause. The onset consisted of: fever, vomiting, nausea, seizures, neurological problems. All of the cases required emergency neurosurgical treatment and specific antibiotherapy. Before the etiology of the infection was established, patients received empiric broad spectrum antibiotherapy (meropenem and linezolid), with subsequent antibiotic de-escalation over the next 6 weeks. The treatment was monitored clinically, biologically and with imaging studies. The evolution was favorable in all cases. No deaths were registered. Neurological sequelae were present in 41.7% of the cases: hemiparesis, sight and speech problems, psycho-motor impairment, seizures.
Highlights
Bacterial brain abscess is an important cause of morbidity and mortality both in adults and in children
We performed a retrospective study on cases of bacterial brain abscesses admitted in the Pediatric Intensive Care Unit of the National Institute for Infectious Diseases “Prof. Dr Matei Balş” between 01 January 2008 and 01 January 2013
Neurological sequelae were present in 41.7% of the cases: hemiparesis, sight and speech problems, psycho-motor impairment, seizures
Summary
Gheorghiță Jugulete1,2*, Monica Luminos, Anca Drăgănescu, Magdalena Vasile, Angelica Vişan, Mădălina Maria Merişescu, Anuța Bilaşco, Camelia Kouris, Endis Osman, Sabina Șchiopu, Adrian Iliescu, Virgil Ionescu. From The 9th Edition of the Scientific Days of the National Institute for Infectious Diseases Prof Dr Matei Bals Bucharest, Romania.
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