Cerebral abscess caused by Serratia marcescens in a premature neonate

Detalhes bibliográficos
Autor(a) principal: Hirooka,Tatiana Mattos
Data de Publicação: 2007
Outros Autores: Fontes,Ricardo Braganca de Vasconcellos, Diniz,Edna Maria, Pinto,Fernando Campos, Matushita,Hamilton
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000600021
Resumo: BACKGROUND: Cerebral abscesses are extremely rare in neonates. Serratia marcescens is an unusual cause of sepsis and neurological spread is especially ominous. PURPOSE: To report the case of a 34-week neonate who developed this rare condition and to discuss diagnostic and therapeutic measures. CASE REPRT: A 34-week male neonate sequentially developed respiratory distress syndrome, early sepsis and necrotizing enterocolitis; later cultures revealed S. marcescens. After deterioration, a cerebral abscess became evident, which revealed S. marcescens. Clinical improvement ensued after high-dose amikacin and meropenem. CONCLUSION: Clinical signs are often non-specific. Proper diagnostic measures, neurosurgical consultation and aggressive antibiotic therapy are essential for these high-risk neonates.
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spelling Cerebral abscess caused by Serratia marcescens in a premature neonatebrain abscessinfantprematureintensive careneonatalmeningoencephalitisSerratia marcescensBACKGROUND: Cerebral abscesses are extremely rare in neonates. Serratia marcescens is an unusual cause of sepsis and neurological spread is especially ominous. PURPOSE: To report the case of a 34-week neonate who developed this rare condition and to discuss diagnostic and therapeutic measures. CASE REPRT: A 34-week male neonate sequentially developed respiratory distress syndrome, early sepsis and necrotizing enterocolitis; later cultures revealed S. marcescens. After deterioration, a cerebral abscess became evident, which revealed S. marcescens. Clinical improvement ensued after high-dose amikacin and meropenem. CONCLUSION: Clinical signs are often non-specific. Proper diagnostic measures, neurosurgical consultation and aggressive antibiotic therapy are essential for these high-risk neonates.Academia Brasileira de Neurologia - ABNEURO2007-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000600021Arquivos de Neuro-Psiquiatria v.65 n.4a 2007reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2007000600021info:eu-repo/semantics/openAccessHirooka,Tatiana MattosFontes,Ricardo Braganca de VasconcellosDiniz,Edna MariaPinto,Fernando CamposMatushita,Hamiltoneng2007-12-06T00:00:00Zoai:scielo:S0004-282X2007000600021Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2007-12-06T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Cerebral abscess caused by Serratia marcescens in a premature neonate
title Cerebral abscess caused by Serratia marcescens in a premature neonate
spellingShingle Cerebral abscess caused by Serratia marcescens in a premature neonate
Hirooka,Tatiana Mattos
brain abscess
infant
premature
intensive care
neonatal
meningoencephalitis
Serratia marcescens
title_short Cerebral abscess caused by Serratia marcescens in a premature neonate
title_full Cerebral abscess caused by Serratia marcescens in a premature neonate
title_fullStr Cerebral abscess caused by Serratia marcescens in a premature neonate
title_full_unstemmed Cerebral abscess caused by Serratia marcescens in a premature neonate
title_sort Cerebral abscess caused by Serratia marcescens in a premature neonate
author Hirooka,Tatiana Mattos
author_facet Hirooka,Tatiana Mattos
Fontes,Ricardo Braganca de Vasconcellos
Diniz,Edna Maria
Pinto,Fernando Campos
Matushita,Hamilton
author_role author
author2 Fontes,Ricardo Braganca de Vasconcellos
Diniz,Edna Maria
Pinto,Fernando Campos
Matushita,Hamilton
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Hirooka,Tatiana Mattos
Fontes,Ricardo Braganca de Vasconcellos
Diniz,Edna Maria
Pinto,Fernando Campos
Matushita,Hamilton
dc.subject.por.fl_str_mv brain abscess
infant
premature
intensive care
neonatal
meningoencephalitis
Serratia marcescens
topic brain abscess
infant
premature
intensive care
neonatal
meningoencephalitis
Serratia marcescens
description BACKGROUND: Cerebral abscesses are extremely rare in neonates. Serratia marcescens is an unusual cause of sepsis and neurological spread is especially ominous. PURPOSE: To report the case of a 34-week neonate who developed this rare condition and to discuss diagnostic and therapeutic measures. CASE REPRT: A 34-week male neonate sequentially developed respiratory distress syndrome, early sepsis and necrotizing enterocolitis; later cultures revealed S. marcescens. After deterioration, a cerebral abscess became evident, which revealed S. marcescens. Clinical improvement ensued after high-dose amikacin and meropenem. CONCLUSION: Clinical signs are often non-specific. Proper diagnostic measures, neurosurgical consultation and aggressive antibiotic therapy are essential for these high-risk neonates.
publishDate 2007
dc.date.none.fl_str_mv 2007-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000600021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000600021
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2007000600021
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.65 n.4a 2007
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
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