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Multiple brain abscesses and bacteremia in a child due toFusobacterium necrophorum

Multiple Hirnabszesse und Bakteriämie durch Fusobacterium necrophorum bei einem Kind

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Summary

A case ofFusobacterium necrophorum bacteremia and multiple brain abscesses in a 6-year-old child following aMycoplasma pneumoniae infection is described. Brain abscess due to this microorganism has only been described in three other cases since 1977. The clinical picture was consistent with postanginal septicemia, with septic metastatic complications normally only seen in teenagers and young adults. The patient was successfully treated with a 2-month course of parenteral penicillin G and metronidazole.

Zusammenfassung

Eine „Bakteriämie“, kompliziert durch multiple Hirnabszesse, trat bei einem sechs Jahre alten Kind nach einer Atemwegsinfektion durchMycoplasma pneumoniae auf. Seit 1977 wurden nur drei Fälle von Hirnabszeß durchF. necrophorum beschrieben. Das klinische Bild war vergleichbar mit einer postanginösen Bakteriämie mit septischer Komplikation, wie sie normalerweise bei jungen Erwachsenen gefunden wird. Die parenterale Behandlung mit Penicillin-G und Metronidazol für zwei Monate führte zur Heilung.

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Authors and Affiliations

  1. Dept. of Medical Microbiology, University Hospital Nijmegen, P. O. Box 9101, NL-6500 HB, Nijmegen, The Netherlands

    J. F. G. M. Meis M. D., Ph. D. &  J. A. A. Hoogkamp-Korstanje M. D., Ph. D.

  2. Dept. of Neurosurgery, University Hospital Nijmegen, P. O. Box 9101, NL-6500 HB, Nijmegen, The Netherlands

    T. W. Polder M. D., Ph. D.

  3. Dept. of Pediatrics, University Hospital Nijmegen, P. O. Box 9101, NL-6500 HB, Nijmegen, The Netherlands

    P. van de Kar M. D.

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  1. J. F. G. M. Meis M. D., Ph. D.
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  2. J. A. A. Hoogkamp-Korstanje M. D., Ph. D.
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  3. T. W. Polder M. D., Ph. D.
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  4. P. van de Kar M. D.
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Meis, J.F.G.M., Hoogkamp-Korstanje, J.A.A., Polder, T.W. et al. Multiple brain abscesses and bacteremia in a child due toFusobacterium necrophorum . Infection 21, 174–176 (1993). https://doi.org/10.1007/BF01710542

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  • DOI: https://doi.org/10.1007/BF01710542

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