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[Brain abscess in children].

R R Borrego Domínguez1, M Navarro Gómez, J A Gómez-Campderá

  • 1Departamento de Pediatría, Hospital Materno-Infantil Gregorio Marañón, Madrid, Spain. MICOMIX@terra.es

Anales De Pediatria (Barcelona, Spain : 2003)
|October 13, 2005
PubMed
Summary

Brain abscess is a rare but serious infection in children, often linked to sinusitis or heart conditions. Early diagnosis with imaging and prompt antibiotic treatment are crucial for better outcomes.

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Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Brain abscess is a rare pediatric infection with historically high morbidity and mortality.
  • Advances in neuroimaging and antibiotics have improved outcomes.
  • This study reviews six pediatric brain abscess cases from 1996-2003.

Observation:

  • The study included six pediatric patients aged 8-15 years.
  • Common presenting symptoms included neurological deficits, sinusitis, congenital cyanotic heart disease, and meningitis.
  • Abscesses were predominantly located in the frontal lobe.

Findings:

  • Diagnosis was confirmed using computed tomography (CT) and magnetic resonance imaging (MRI).
  • All patients received broad-spectrum antibiotics, and five underwent surgical drainage.

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  • Two patients experienced neurological sequelae.

    • Implications:

    • Brain abscess should be suspected in children with neurological symptoms, especially with co-occurring otorhinolaryngological infections or congenital heart disease.
    • Prompt CT or MRI is essential for diagnosis.
    • Early initiation of broad-spectrum antibiotics and potential surgical intervention are key to management.