RESUMO
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.
Assuntos
Mordeduras e Picadas/microbiologia , Abscesso Encefálico/microbiologia , Lesões Encefálicas/microbiologia , Haplorrinos , Meningites Bacterianas/microbiologia , Infecções Estreptocócicas/microbiologia , Streptococcus oralis/isolamento & purificação , Animais , Antibacterianos/uso terapêutico , Mordeduras e Picadas/terapia , Abscesso Encefálico/terapia , Lesões Encefálicas/terapia , Humanos , Lactente , Masculino , Meningites Bacterianas/terapia , Infecções Estreptocócicas/terapia , Tomografia Computadorizada por Raios X , Derivação Ventriculoperitoneal/métodosRESUMO
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.
