Experience with brain abscesses.
Indian Pediatr
;
1994 Jun; 31(6): 661-6
Article
in English
| IMSEAR
| ID: sea-14176
ABSTRACT
Brain abscesses were studied in 47 patients. Thirty-four (72%) of them were between 5-15 years and 9 were infants. Otogenic source (34%) was the commonest predisposing factor, followed by scalp and face infection (21.3%) and congenital cyanotic heart disease (12.8%). Twenty (42%) patients had multiple abscesses. Supratentorial abscesses were commonest (75.9%). Predominant clinical features were fever (87.2%), raised intracranial tension (78.7%) and altered sensorium (53.2%). A total of 38.3% presented with focal neurological deficit and 34% were admitted in Grade III or IV coma. Diagnosis of abscess and monitoring of its evolution was done principally by CT scanning. Causative organisms were isolated in 54.8% of cases and Staphylococci, Proteus and Pseudomonas were the common pathogens. Therapy was most often a combination of surgical aspiration with or without excision in addition to antimicrobial therapy. The overall mortality in our series was 44.7%. Bad prognostic factors were Grade III/IV of coma at admission, age below 2 years and multiple abscesses.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Brain Abscess
/
Female
/
Humans
/
Male
/
Tomography, X-Ray Computed
/
Child
/
Child, Preschool
/
Follow-Up Studies
/
Adolescent
/
Treatment Outcome
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Indian Pediatr
Year:
1994
Type:
Article
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