2013, Number 1
<< Back Next >>
Acta Pediatr Mex 2013; 34 (1)
Brain abscess caused by Haemophilus paraphrophilus following a dental treatment in a girl. Report of a case
Vázquez-Toledo ME, Farfán-Quiroz R, Demontesinos-Sanpedro A
Language: Spanish
References: 12
Page: 33-38
PDF size: 307.36 Kb.
ABSTRACT
We report the case of a six year old girl who developed three brain
abscesses following a dental intervention (extraction of a tooth) two
weeks before. The etiologic agent was identified as
Haemophilus paraphrophilus, a gramnegative microorganism bacillus native microbiota
of the oropharynx, nasopharynx and the gastrointestinal
tract. The patient was given ceftriaxone due to the sensitivity of the
microorganism, and metronidazole -because we couldn’t discard
etiology by anaerobic- during six weeks. Surgical drainage of the
abscesses was performed successfully. To date, the patient has
minimal neurologic sequelae. The importance of this case is that
is the second report in the international literature of brain abscess
secondary to
Haemophilus paraphrophilus in a pediatric patient and
without associated heart disease.
REFERENCES
Hoefele J, Kroener C, Berweck S, Peraud A, Grabein B, Wintergerst U, Liese J. Haemophilus paraphrophilus, a rare cause of intracerebral abscess in children. Eur J Pediatr 2008;167:629-32.
Borrego DR, Navaro GM, Gómez-Campdera JA, Carreras FJ. Abceso cerebral infantil. An Pediatr Barc 2005;63(3):253-8.
Coria L, Rocha R, Gómez B. Absceso cerebral en niños. Diez años de experiencia en un hospital de tercer nivel. Rev Mex Pediatr Mex 2002;69(6);226-33.
Sansano U, Capell E, Hernández M. Absceso cerebral en la infancia. Presentación de 5 casos. An Esp Pediatr 1996;45:177-80.
Liemeres PJ, Tomas CI, Fernández FJ, Martínez VC, Castro IA, Diz DP. Abscesos cerebrales de origen oral. Rev Neurol 2003;37(3):201-6.
Coria LJ, Rocha RJ, Gómez BD. Absceso cerebral en los niños. Revisión. Rev Mex Pediatr 2002;69(6):247-51.
Sáez LX, Umaña MA, Odio CM. Brain abscess in infants and children. Pediatr Infect Dis J 1989;8:449-58.
Brook I. Bacteriology of intracranial abscess in children. J Neurosurg 1981;54:484-8.
Behrman RE. Nelson Tratado de Pediatria. 17ª ed. Madrid: Elsevier; 2004. p. 2047.
Douglas DC. Brain abscess. Pediatr Rev 1999;20:209-15.
Zinneman K, Rogers KB, Frazer J, Boyce JM. A new V dependent Haemophilus species preferring increased CO2 tension for growth and named Haemophilus paraprophilus. J Pathol Bacteriol 1968;96:419-23.
Chacon MMA, Facha GTM, Alessio RLP. Abscesos cerebrales. Med Sur 2002;9(4):