Intracerebral hematoma complicated with brain abscess in an infant. Case report

Neurol Med Chir (Tokyo). 2008 Apr;48(4):176-8. doi: 10.2176/nmc.48.176.

Abstract

A 45-day-old infant presented with a rare case of intracerebral hematoma complicated with brain abscess which developed after vitamin K deficiency. He was admitted to our emergency department with complaints of fever and confusion. Physical, neurological, and laboratory examinations and cranial computed tomography identified vitamin K deficiency and intracerebral hematoma. He started to suffer convulsions. The patient underwent surgery. A brain abscess was discovered with an intracerebral hematoma. The intracerebral hematoma and abscess were evacuated and antibiotic therapy was initiated. Convulsions became rare and were controlled with midozalam administration. Follow-up computed tomography after 6 months showed encephalomalacic changes in the temporoparietal area. If feeding depends only on human milk, the amount of vitamin K prophylaxis given to neonates should be increased to support vitamin K related factors.

Publication types

  • Case Reports

MeSH terms

  • Brain Abscess / etiology*
  • Cerebral Hemorrhage / etiology*
  • Hematoma / etiology*
  • Humans
  • Infant
  • Male
  • Vitamin K Deficiency / complications*