[Cerebral abscess secondary to esophageal dilatations].
We report two cases of cerebral abscess secondary to esophageal dilations in children with caustic stenosis of the esophagus. High fever and neurological findings postdilation lead us to suspect this complication. Cranial C.T. confirmed the diagnosis. Clinical course was favourable in both patients, with antibioterapy on the first case and combined therapy with surgical drainage and parenteral antibiotics on the second patient. We remark the importance of suspect this complication on the basis of clinical and tomographic findings on the pediatric patients subjected to esophageal dilations. Pathogenic ways of bacterial dissemination from the esophagus to the brain are discussed and reviewed.
López-Candel
E
E
Servicio de Cirugía Pediátrica, H. G. E. Virgen de las Nieves, Granada.
Castejón Casado
J
J
Sánchez López-Tello
C
C
Jiménez Alvarez
C
C
D001922:Brain Abscess / Q000209:etiology*; D002057:Burns, Chemical; D002675:Child, Preschool; D004106:Dilatation / Q000009:adverse effects*; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000628:therapy*; D006801:Humans; D008297:Male
Absceso cerebral secundario a dilataciones esofágicas.