Neonatal adrenal abscess revisited: the importance of raised inflammatory markers.
Adrenal abscesses rarely occur in neonates and usually present with non-specific signs and symptoms. Prompt diagnosis requires an index of suspicion. We describe right-sided adrenal haemorrhage and abscess formation in a newborn with hypoxic-ischaemic encephalopathy following maternal post-partum haemorrhage and sepsis with Escherichia coli and Enterococcus faecalis. Percutaneous drainage of the abscess identified an E. coli isolate identical to that in the mother plus Candida albicans.
Ratnavel
Nandiran
N
Neonatal Unit, St George's Hospital, London, UK. rats@doctors.org.uk
Farrer
Kate
K
Sharland
Mike
M
Chakraborty
Rana
R
D000038:Abscess / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D000307:Adrenal Gland Diseases / Q000150:complications / Q000175:diagnosis*; D015415:Biomarkers / Q000032:analysis; D002097:C-Reactive Protein / Q000032:analysis; D013293:Enterococcus faecalis / Q000302:isolation & purification; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000150:complications; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000150:complications*; D007231:Infant, Newborn
D015415:Biomarkers; D002097:C-Reactive Protein