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Multiple brain abscesses in neonate caused by Edwardsiella tarda: case report

Hayato Takeuchi1, Yuri Fujita, Hiroshi Ogawa

  • 1Department of Neurosurgery, Nantan General Hospital, Nantan, Kyoto, Japan. thayato@pop07.odn.ne.jp

Neurologia Medico-Chirurgica
|February 28, 2009
PubMed

Insights

Edwardsiella tarda, a rare Gram-negative bacterium, caused multiple brain abscesses in a neonate. Prompt diagnosis and external drainage led to successful treatment and normal development.

Area of Science:

  • Neonatal neurology
  • Infectious diseases
  • Medical imaging

Background:

  • Brain abscesses in neonates are rare but serious infections.
  • Edwardsiella tarda is an uncommon cause of neonatal infections, particularly brain abscesses.

Observation:

  • A neonate presented with multiple brain abscesses.
  • Magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) tracked the progression of the abscesses from cerebritis to the capsular stage.

Findings:

  • The neonate's brain abscesses were caused by Edwardsiella tarda, a Gram-negative bacterium.
  • Serial neuroimaging revealed the typical evolution of brain abscesses.
  • Successful treatment was achieved through external drainage.

Implications:

  • Early diagnosis using computed tomography (CT), MRI, and ultrasound tomography is crucial.
  • Prompt surgical intervention, such as external drainage, is vital for favorable outcomes.
  • This case highlights the importance of considering unusual pathogens in neonatal infections.

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