Child's Nervous System

, Volume 25, Issue 9, pp 1137–1141

Cerebellar abscesses caused by dog bite: a case report

  • B. L. Santana-Montero
  • H. Ahumada-Mendoza
  • M. A. Vaca-Ruíz
  • E. Castro-Sierra
  • F. Sánchez-Herrera
  • E. Fernández-Portilla
  • R. M. Sosa-Quintero
  • V. González-Carranza
  • L. F. Gordillo-Domínguez
  • S. Garza-Morales
  • F. Chico-Ponce de León
Case Report

Abstract

Introduction

Bites by house pets can be lethal or cause a series of catastrophic events with severe sequels, such as the loss of a limb or a systemic infection which may be life-endangering, especially in the case of children being bitten.

Presentation

A 2-year-old girl was attacked by a dog, causing lesions at the occipital region. This was treated initially as a superficial wound that became further complicated with two cerebellar abscesses. These abscesses required neurosurgical and antimicrobial treatment, with a satisfactory outcome.

Conclusion

The precise and diligent evaluation of a lesion caused by an animal bite may prevent further life-endangering complications. To the best of our knowledge, there are no reports about cerebellar abscess caused by a dog bite. When cranial lesions are penetrating, an abscess must to be considered. We insist on the importance of medical evaluation and adequate treatment of such lesions.

Keywords

Cerebellar abscesses Dog bite Neurologic infection Skull fracture Pediatrics 

References

  1. 1.
    Bravo A (2000) Trauma and burns. In: Siberry G, Iannone R (eds) The Harriet Lane handbook. Mosby, St. Louis, MO, pp 82–84Google Scholar
  2. 2.
    Brook I (2003) Microbiology and management of human and animal bite wound infections. Prim Care 30:25–39PubMedGoogle Scholar
  3. 3.
    Clarridge JE, Atorri S, Musher DM, Hebert J (2001) Streptococcus intermedius, Streptococcus constellatus and Streptococcus anginosus (“Streptococcus milleri Group”) are of different clinical importance and are not equally associated with abscess. Clin Infect Dis 32:1511–1515CrossRefGoogle Scholar
  4. 4.
    Dwyer JP, Douglas TS, van As AB (2007) Dog bite injuries in children—a review of data from a South African paediatric trauma unit. S Afr Med J 97:597–600PubMedGoogle Scholar
  5. 5.
    Griego RD, Rosen T, Orengo IF, Wolf JE (1995) Dog, cat and human bites: a review. J Am Acad Dermatol 33:1019–1029PubMedCrossRefGoogle Scholar
  6. 6.
    Healey D (2007) Fatal dog bites in New Zealand. N Z Med J 120:U2659PubMedGoogle Scholar
  7. 7.
    Hon KL, Fu CC, Chor CM, Tang PS, Leung TF, Man CY, Ng PC (2007) Issues associated with dog bite injuries in children and adolescents assessed at the emergency department. Pediatr Emerg Care 23:445–449PubMedCrossRefGoogle Scholar
  8. 8.
    Kahn A, Bauche P, Lamoureux J, Team Dog Bites Research (2003) Child victims of dog bites treated in emergency departments: a prospective survey. Eur J Pediatr 162:254–258PubMedGoogle Scholar
  9. 9.
    Keogh S, Callaghan ML (2001) Bites and injuries inflicted by domestic animals. In: Auerbach P (ed) Wilderness medicine: management of wilderness and environmental emergencies, 4th edn. Mosby, St Louis, MOGoogle Scholar
  10. 10.
    Klein DM, Cohen ME (1978) Pasteurella multocida brain abscess following perforating cranial dog bite. J Pediatr 92:588–589PubMedCrossRefGoogle Scholar
  11. 11.
    Lang ME, Klassen T (2005) Dog bites in Canadian children: a five-year review of severity and emergency department management. CJEM 7:309–314PubMedGoogle Scholar
  12. 12.
    Li ZX, Zhao B, Feng Z (1994) Brain abscess due to Pasteurella multocida. Kansenshogaku Zasshi 68:403–406PubMedGoogle Scholar
  13. 13.
    Méndez Gallart R, Gómez Tellado M, Somoza Argibay I, Liras Muñoz J, Pais Piñeiro E, Vela Nieto D (2002) Dog bite-related injuries treated in a pediatric surgery department: analysis of 654 cases in 10 years. An Esp Pediatr 56:425–429PubMedGoogle Scholar
  14. 14.
    Meyers B, Schoeman JP, Goddard A, Picard J (2008) The bacteriology and antimicrobial susceptibility of infected and non-infected dog bite wounds: fifty cases. Vet Microbiol 127:360–368PubMedCrossRefGoogle Scholar
  15. 15.
    Nadvi SS, Parboosing R, van Dellen JR (1997) Cerebellar abscess: the significance of cerebrospinal fluid diversion. Neurosurgery 41:61–66PubMedCrossRefGoogle Scholar
  16. 16.
    Suárez O, López-Gutiérrez JC, Burgos L, Aguilar R, Luis A, Encinas JL, Soto-Bauregard C, Díaz M, Ros Z (2007) Surgical treatment in severe dog bites injuries in pediatric children. Cir Pediatr 20:148–150PubMedGoogle Scholar
  17. 17.
    Talan DA, Citron DM, Abrahamian FM, Moran GJ, Goldstein EJ (1999) Bacteriologic analysis of infected dog and cat bites. N Engl J Med 340:85–92PubMedCrossRefGoogle Scholar
  18. 18.
    Tattevin P, Bruneel F, Clair B, Lellouche F, de Broucker T, Chevret S, Bédos JP, Wolff M, Régnier B (2003) Bacterial brain abscesses: a retrospective study of 94 patients admitted to an intensive care unit (1980 to 1999). Am J Med 115:143–146PubMedCrossRefGoogle Scholar
  19. 19.
    Weiss HB, Friedman DI, Coben JH (1998) Incidence of dog bite injuries treated in emergency departments. JAMA 279:51–53PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • B. L. Santana-Montero
    • 1
  • H. Ahumada-Mendoza
    • 2
  • M. A. Vaca-Ruíz
    • 1
  • E. Castro-Sierra
    • 3
  • F. Sánchez-Herrera
    • 1
  • E. Fernández-Portilla
    • 4
  • R. M. Sosa-Quintero
    • 5
  • V. González-Carranza
    • 1
  • L. F. Gordillo-Domínguez
    • 1
  • S. Garza-Morales
    • 6
  • F. Chico-Ponce de León
    • 1
  1. 1.Department of NeurosurgeryHospital Infantil de México Federico Gómez (HIMFG)México, DFMéxico
  2. 2.UDR, Unidad de RadiodiagnósticoGrupo ProaMéxicoMéxico
  3. 3.Laboratory of Psychoacoustics & Auditory PhysiologyHIMFGMéxicoMéxico
  4. 4.Department of General SurgeryHIMFGMéxicoMéxico
  5. 5.Department of RadiologyHIMFGMéxicoMéxico
  6. 6.Department of NeurologyHIMFGMéxicoMéxico

Personalised recommendations