Streptococcus oralis cerebral abscess following monkey bite in a 2-month-old infant

Srinivasan Thiagarajan1, Sriram Krishnamurthy1, Renitha Raghavan1

  • 1a Departments of Paediatrics.

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.