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Published on: July 1, 2018
Streptococcus oralis cerebral abscess following monkey bite in a 2-month-old infant
Srinivasan Thiagarajan1, Sriram Krishnamurthy1, Renitha Raghavan1
1a Departments of Paediatrics.
Abstract:
Although cerebral abscesses caused by animal bites have been reported, they are extremely rare in infants and have not been described following monkey bite. A 55-day-old male infant presented with a multi-loculated Streptococcus oralis cerebral abscess following a monkey bite on the scalp. There was a clinical response to antibiotic therapy and repeated surgical aspiration followed by a ventriculoperitoneal shunt. This is the first report of a patient with a brain abscess following a monkey bite.
Insights
A rare brain abscess in an infant, caused by a monkey bite, was successfully treated with antibiotics and surgery. This case highlights a novel association between primate bites and pediatric cerebral infections.
Area of Science:
- Neurology
- Infectious Diseases
- Pediatrics
Background:
- Cerebral abscesses from animal bites are uncommon, particularly in infants.
- Brain infections following primate bites have not been previously documented.
Observation:
- A 55-day-old infant developed a complex cerebral abscess after a monkey bite on the scalp.
- The abscess was caused by Streptococcus oralis.
Findings:
- The infant showed clinical improvement with antibiotic treatment.
- Repeated surgical aspiration and a ventriculoperitoneal shunt were necessary for management.
Implications:
- This case represents the first documented instance of a brain abscess resulting from a monkey bite.
- It expands the spectrum of potential zoonotic infections transmissible from primates to humans, emphasizing caution with animal handling.
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