Multiple brain abscesses caused by Citrobacter koseri in a preterm neonate : case report

2018
journal article
article
dc.abstract.enIntroduction: Brain abscesses are very rarely diagnosed in neonates, but if present, they are associated with a high risk of severe complications and mortality. In neonates, brain abscesses can be detected on transfontanelle ultrasonography, in which they appear as hyperechogenic lesions surrounded by a hypoechogenic border. Case report: We present a female neonate, born in the 28th week of gestation, with birth weight of 950 grams, who was born in an ambulance by spontaneous vaginal vertex delivery. No signs of infection were present until the 35th day of hospitalization, when a sudden and serious deterioration in the patient's condition was observed due to lateonset sepsis. Cranial US, performed on the 40th day of life, revealed hyperechogenic lesions with a hypoechogenic halo in the right frontal lobe, which could correspond to brain abscesses. These lesions were caused by Citrobacter koseri septicaemia, identified by transfontanelle ultrasonography, and confirmed on magnetic resonance imaging. The patient recovered and was discharged on the 91th day of life (39 PCA) with a recommendation of permanent neurological surveillance. Conclusions: Ultrasonography of the central nervous system can reveal inflammatory changes and developing brain abscesses. In neonates, magnetic resonance imaging should be performed as the method of choice for confirming brain abscesses.pl
dc.contributor.authorLechowicz, Miłoszpl
dc.contributor.authorDąbek, Katarzynapl
dc.contributor.authorMajewska, Urszulapl
dc.contributor.authorBekesińska-Figatowska, Monikapl
dc.contributor.authorBorszewska-Kornacka, Maria K.pl
dc.contributor.authorBokiniec, Renatapl
dc.date.accessioned2018-02-06T12:00:14Z
dc.date.available2018-02-06T12:00:14Z
dc.date.issued2018pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e15pl
dc.description.physicale11-e15pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume83pl
dc.identifier.doi10.5114/pjr.2018.72958pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/49769
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enbrain abscesspl
dc.subject.enCitrobacter koseripl
dc.subject.enmagnetic resonance imagingpl
dc.subject.enultrasonographypl
dc.subtypeArticlepl
dc.titleMultiple brain abscesses caused by Citrobacter koseri in a preterm neonate : case reportpl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Introduction: Brain abscesses are very rarely diagnosed in neonates, but if present, they are associated with a high risk of severe complications and mortality. In neonates, brain abscesses can be detected on transfontanelle ultrasonography, in which they appear as hyperechogenic lesions surrounded by a hypoechogenic border. Case report: We present a female neonate, born in the 28th week of gestation, with birth weight of 950 grams, who was born in an ambulance by spontaneous vaginal vertex delivery. No signs of infection were present until the 35th day of hospitalization, when a sudden and serious deterioration in the patient's condition was observed due to lateonset sepsis. Cranial US, performed on the 40th day of life, revealed hyperechogenic lesions with a hypoechogenic halo in the right frontal lobe, which could correspond to brain abscesses. These lesions were caused by Citrobacter koseri septicaemia, identified by transfontanelle ultrasonography, and confirmed on magnetic resonance imaging. The patient recovered and was discharged on the 91th day of life (39 PCA) with a recommendation of permanent neurological surveillance. Conclusions: Ultrasonography of the central nervous system can reveal inflammatory changes and developing brain abscesses. In neonates, magnetic resonance imaging should be performed as the method of choice for confirming brain abscesses.
dc.contributor.authorpl
Lechowicz, Miłosz
dc.contributor.authorpl
Dąbek, Katarzyna
dc.contributor.authorpl
Majewska, Urszula
dc.contributor.authorpl
Bekesińska-Figatowska, Monika
dc.contributor.authorpl
Borszewska-Kornacka, Maria K.
dc.contributor.authorpl
Bokiniec, Renata
dc.date.accessioned
2018-02-06T12:00:14Z
dc.date.available
2018-02-06T12:00:14Z
dc.date.issuedpl
2018
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. e15
dc.description.physicalpl
e11-e15
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
83
dc.identifier.doipl
10.5114/pjr.2018.72958
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/49769
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
brain abscess
dc.subject.enpl
Citrobacter koseri
dc.subject.enpl
magnetic resonance imaging
dc.subject.enpl
ultrasonography
dc.subtypepl
Article
dc.titlepl
Multiple brain abscesses caused by Citrobacter koseri in a preterm neonate : case report
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

* The migration of download and view statistics prior to the date of April 8, 2024 is in progress.

Views
1
Views per month
Downloads
lechowicz_dabek_majewska_bekesinska-figatowska_borszewska-kornacka_bokiniec_multiple_brain_abscesses_caused_by_citrobacter_koseri_2018.pdf
3