Brain Abscess and Esophageal Dilatation: Where is the Link? Case Report
Arq. bras. neurocir
; 39(2): 146-148, 15/06/2020.
Article
en En
| LILACS
| ID: biblio-1362504
Biblioteca responsable:
BR1.1
ABSTRACT
Introduction Caustic substance ingestion is a common cause of esophageal stricture in children. The primary treatment is esophageal dilatation. Although it is known that endoscopic esophageal dilatation is a procedure associated with a high rate of bacteremia, current guidelines do not recommend routine throat swab cultures or antibiotic prophylaxis for the general children population. Case Report We describe a case of a 7-year-old boy presenting with refractory headaches who was diagnosed with cranial abscess after multiple esophageal dilatations due to stenosis caused by caustic soda ingestion. The patient was subjected to neurosurgical intervention and intravenous antibiotic treatment for 6 weeks. Streptococcus viridans culture was positive in purulent abscess content. Conclusion We highlight this condition that, although rare, needs immediate diagnosis and proper treatment. We also recommend routine testing of throat swabs and antibiotics prophylaxis to children undergoing esophageal dilatation.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Absceso Encefálico
/
Estenosis Esofágica
Tipo de estudio:
Guideline
Límite:
Child
/
Humans
/
Male
Idioma:
En
Revista:
Arq. bras. neurocir
Asunto de la revista:
Cirurgia
/
NEUROCIRURGIA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Brasil