Brain Abscess and Esophageal Dilatation: Where is the Link? Case Report
Arq. bras. neurocir
;
39(2): 146-148, 15/06/2020.
Artigo
em Inglês
| LILACS
| ID: biblio-1362504
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Abscesso Encefálico
/
Estenose Esofágica
Tipo de estudo:
Guia de Prática Clínica
Limite:
Criança
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arq. bras. neurocir
Assunto da revista:
Cirurgia
/
Neurocirurgia
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Estadual de Ponta Grossa/BR
/
Universidade Estadual de Ponta Grossa, Ponta Grossa PR/BR
/
Universidade de São Paulo/BR
Similares
MEDLINE
...
LILACS
LIS