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Multiple Brain Abscesses Caused by Citrobacter Koseri in a Preterm Neonate - Case Report
Miłosz Lechowicz1, Katarzyna Dąbek2, Urszula Majewska1
1Department of Neonatal and Intensive Care, Medical University of Warsaw, Warsaw, Poland.
Polish Journal of Radiology
|April 17, 2018
Summary
Neonatal brain abscesses are rare but serious. Transfontanelle ultrasonography can detect these lesions, with magnetic resonance imaging confirming diagnosis for better outcomes.
Area of Science:
- Neonatal neurology
- Pediatric infectious diseases
- Medical imaging in neonates
Background:
- Brain abscesses in neonates are uncommon but carry significant risks of mortality and severe complications.
- Transfontanelle ultrasonography is a key diagnostic tool, identifying brain abscesses as hyperechogenic lesions with a hypoechogenic border.
Observation:
- A premature neonate (28 weeks gestation, 950g) developed late-onset sepsis on day 35 of hospitalization.
- Cranial ultrasonography revealed hyperechogenic lesions with a hypoechogenic halo in the right frontal lobe.
- These findings were attributed to Citrobacter koseri septicemia.
Findings:
- Transfontanelle ultrasonography identified characteristic lesions suggestive of brain abscesses.
- Magnetic resonance imaging confirmed the presence of brain abscesses.
- The neonatal brain abscesses were caused by Citrobacter koseri septicemia.
Implications:
- Central nervous system ultrasonography is effective in detecting inflammatory changes and developing brain abscesses in neonates.
- Magnetic resonance imaging is the preferred method for confirming neonatal brain abscesses.
- Early diagnosis and appropriate imaging are crucial for managing neonatal brain abscesses and improving patient outcomes.
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