Dermoid Cyst Causing Neonatal Brain Abscesses: A Case Report.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
Yi Yuan, Ping Zhou, Xiaojun Dong, Yong Sun, Zongjian An
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引用次数: 0

Abstract

BACKGROUND Brain abscess is a rare yet severe complication of neonatal meningitis, occurring in approximately 10% of neonates with this infection. This report details a case of neonatal brain abscess originating from a dermoid cyst. Although dermoid cysts are benign, they can rupture or become infected, leading to central nervous system (CNS) complications such as brain abscesses. Clinical manifestations can be subtle, often presenting as non-specific symptoms like headache, fever, and irritability, which can progress to severe neurological dysfunction or seizures. Early identification and intervention, including surgical and antimicrobial therapies, are crucial for improving outcomes. CASE REPORT We report a case of a neonatal dermoid cyst located at the cranial vertex, communicating with the intracranial cavity, and clinically presenting as a brain abscess. The patient had a favorable outcome following surgical intervention and anti-infective therapy. This case underscores the importance of considering rare etiologies in neonatal brain abscesses and emphasizes the need for prompt diagnosis and treatment to optimize patient outcomes. A detailed discussion of the diagnostic and therapeutic strategies employed in this case shows their potential influence on clinical decision-making in similar situations. CONCLUSIONS This case highlights the critical importance of precise diagnosis and timely intervention in optimizing patient outcomes. It also serves as a reminder for clinicians to carefully differentiate complications of purulent meningitis from other mimicking conditions, ensuring the implementation of appropriate treatment strategies to prevent severe complications. The insights gained from this case may inform the management of similar presentations, underscoring the necessity for a high index of suspicion and early intervention in neonatal brain abscesses.

皮样囊肿引起新生儿脑脓肿1例报告。
脑脓肿是新生儿脑膜炎的一种罕见但严重的并发症,约有10%的新生儿发生这种感染。本文报告一例新生儿脑脓肿起源于皮样囊肿。虽然皮样囊肿是良性的,但它们可能破裂或被感染,导致中枢神经系统(CNS)并发症,如脑脓肿。临床表现可能很微妙,通常表现为非特异性症状,如头痛、发烧和烦躁,这些症状可发展为严重的神经功能障碍或癫痫发作。早期识别和干预,包括手术和抗菌治疗,对于改善结果至关重要。病例报告我们报告一例新生儿皮样囊肿位于颅顶,与颅内腔相通,临床表现为脑脓肿。经过手术干预和抗感染治疗,患者预后良好。该病例强调了考虑新生儿脑脓肿罕见病因的重要性,并强调了及时诊断和治疗以优化患者预后的必要性。详细讨论在这种情况下采用的诊断和治疗策略显示了他们在类似情况下对临床决策的潜在影响。结论:本病例强调了准确诊断和及时干预对优化患者预后的重要性。它还提醒临床医生仔细区分化脓性脑膜炎的并发症与其他模拟病症,确保实施适当的治疗策略,以防止严重的并发症。从该病例中获得的见解可能会为类似表现的管理提供信息,强调对新生儿脑脓肿进行高度怀疑和早期干预的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Case Reports
American Journal of Case Reports Medicine-Medicine (all)
CiteScore
1.80
自引率
0.00%
发文量
599
期刊介绍: American Journal of Case Reports is an international, peer-reviewed scientific journal that publishes single and series case reports in all medical fields. American Journal of Case Reports is issued on a continuous basis as a primary electronic journal. Print copies of a single article or a set of articles can be ordered on demand.
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