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Published on: July 24, 2016
Intracerebral hematoma complicated with brain abscess in an infant. Case report
Olcay Eser1, Murat Cosar, Adem Aslan
1Department of Neurosurgery, Kocatepe University, Faculty of Medicine, Afyonkarahisar, Turkey. drolcayeser@hotmail.com
Abstract:
A 45-day-old infant presented with a rare case of intracerebral hematoma complicated with brain abscess which developed after vitamin K deficiency. He was admitted to our emergency department with complaints of fever and confusion. Physical, neurological, and laboratory examinations and cranial computed tomography identified vitamin K deficiency and intracerebral hematoma. He started to suffer convulsions. The patient underwent surgery. A brain abscess was discovered with an intracerebral hematoma. The intracerebral hematoma and abscess were evacuated and antibiotic therapy was initiated. Convulsions became rare and were controlled with midozalam administration. Follow-up computed tomography after 6 months showed encephalomalacic changes in the temporoparietal area. If feeding depends only on human milk, the amount of vitamin K prophylaxis given to neonates should be increased to support vitamin K related factors.
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