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Pediatric Giant Cerebral Candida Abscess: A Case Report

Emre Bilgin1, Ali İhsan Ökten2, Yurdal Gezercan2

  • 1Department of Neurosurgery, Adana City Training and Research Hospital, Adana, Turkey, dremreblgn@gmail.com.

Pediatric Neurosurgery
|June 26, 2019
PubMed

Insights

This case study highlights a rare giant cerebral Candida abscess in a 13-month-old infant. Prompt surgical removal and antifungal treatment led to successful recovery, emphasizing early diagnosis for pediatric brain infections.

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Fungal central nervous system infections and pediatric brain abscesses are rare but critical conditions.
  • These infections often occur in immunocompromised individuals or infants with neurosurgical interventions.

Observation:

  • A 13-month-old female infant with a history of eight ventriculoperitoneal shunt operations presented with feeding difficulties.
  • Contrast-enhanced brain tomography revealed a large intracranial mass.

Findings:

  • Surgical excision of the mass was performed, followed by pathological diagnosis of Candida abscess.
  • The infant received antifungal treatment and was discharged after six weeks.

Implications:

  • This case underscores the importance of considering fungal infections in pediatric brain abscesses, especially in shunt-dependent hydrocephalus patients.
  • Early diagnosis and aggressive management, including surgical resection and antifungal therapy, are crucial for favorable outcomes.
  • Highlights the potential for opportunistic fungal infections in vulnerable pediatric populations.
Keywords:
AbscessBrainPediatric infectious diseaseShunt complication

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