Pediatr. praxi 2018; 19(1): 44-46 | DOI: 10.36290/ped.2018.009

Brain abscess as a complication of purulent meningitis in child

MUDr. Daniela Bartková, MUDr. Lenka Petroušová, Ph.D.

Klinika infekčního lékařství, Fakultní nemocnice Ostrava

Brain abscesses are life-threatening complications of purulent meningitis and they are rare in childhood. The treatment of brainabscesses demands a long-term application of antibiotics and often neurosurgical intervention. Despite complex care theprognosis of brain abscesses remains serious, there is a significant risk of relapse of disease and permanent sequelae includingpsychomotoric and neurological disorder or epilepsy.The case report decribes a five years-old boy with purulent meningitis whose condition despite of antibiotic treatment wascomplicated by developing a brain abscess that required neurosurgery. Streptococcus parasanguinis and Streptococcus intermediuswere proved as etiological agents. The total lenght of antibiotic treatment was 6 weeks. The patient recovered without anyconsequences, no reccurence of meningitis or abscess had occured.

Keywords: child, purulent meningitis, brain abscess, Streptococcus parasanguinis, Streptococcus intermedius

Published: March 1, 2018  Show citation