ABSTRACT
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.
Subject(s)
Bites and Stings/microbiology , Brain Abscess/microbiology , Brain Injuries/microbiology , Haplorhini , Meningitis, Bacterial/microbiology , Streptococcal Infections/microbiology , Streptococcus oralis/isolation & purification , Animals , Anti-Bacterial Agents/therapeutic use , Bites and Stings/therapy , Brain Abscess/therapy , Brain Injuries/therapy , Humans , Infant , Male , Meningitis, Bacterial/therapy , Streptococcal Infections/therapy , Tomography, X-Ray Computed , Ventriculoperitoneal Shunt/methodsABSTRACT
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.
