RESUMEN
Although cerebral abscesses caused by animal bites have been reported, they are extremely rare in infants and have not been described following monkey bite. A 55-day-old male infant presented with a multi-loculated Streptococcus oralis cerebral abscess following a monkey bite on the scalp. There was a clinical response to antibiotic therapy and repeated surgical aspiration followed by a ventriculoperitoneal shunt. This is the first report of a patient with a brain abscess following a monkey bite.
Asunto(s)
Mordeduras y Picaduras/microbiología , Absceso Encefálico/microbiología , Lesiones Encefálicas/microbiología , Haplorrinos , Meningitis Bacterianas/microbiología , Infecciones Estreptocócicas/microbiología , Streptococcus oralis/aislamiento & purificación , Animales , Antibacterianos/uso terapéutico , Mordeduras y Picaduras/terapia , Absceso Encefálico/terapia , Lesiones Encefálicas/terapia , Humanos , Lactante , Masculino , Meningitis Bacterianas/terapia , Infecciones Estreptocócicas/terapia , Tomografía Computarizada por Rayos X , Derivación Ventriculoperitoneal/métodosRESUMEN
BACKGROUND: Chronic hypoxemia is generally attributed to primary cardiac or pulmonary entities. CASE CHARACTERISTICS: A 9-year-old boy presenting with cyanosis, clubbing and hypoxemia, without icterus or hepatosplenomegaly. Cardiovascular and respiratory system examinations were normal. OUTCOME: He was diagnosed as type IB Abernethy malformation, a rare cause of hepatopulmonary syndrome. MESSAGE: Pediatricians should consider hepatopulmonary syndrome in the differential diagnosis of chronic hypoxemia, even in the absence of jaundice or hepatosplenomegaly.
