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Osteomyelitis of skull with underlying brain abscess
Rajniti Prasad1, Nishant Verma, O P Mishra
1Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India. rajnitip@gmail.com
Indian Journal of Pediatrics
|February 24, 2011
Summary
Neonatal calvarial osteomyelitis, a rare condition caused by Staphylococcus aureus, can lead to brain abscess and long-term neurological deficits like cerebral palsy.
Area of Science:
- Pediatric infectious diseases
- Neonatal neurology
- Medical imaging in pediatrics
Background:
- Neonatal osteomyelitis of the calvaria is an uncommon but serious infection.
- Staphylococcus aureus is a common pathogen in neonatal infections.
Observation:
- A case report of a 4-week-old infant with Staphylococcus aureus osteomyelitis affecting the right parietal and temporal bones.
- Clinical presentation included a characteristic "moth-eaten" appearance on CT scan.
Findings:
- CT scan revealed a multiloculated brain abscess with encephalomalacia.
- Successful treatment involved intravenous antibiotics and surgical drainage.
- The infant developed hemiplegic spastic cerebral palsy post-treatment.
Implications:
- Early diagnosis and prompt treatment are crucial for managing neonatal calvarial osteomyelitis.
- Despite successful infection control, significant neurological sequelae such as cerebral palsy can occur.
- This case highlights the importance of long-term neurodevelopmental follow-up in affected infants.
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