title: Neonatal adrenal abscess revisited: the importance of raised inflammatory markers.
abstract: 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.
authors.affiliation: Neonatal Unit, St George's Hospital, London, UK. rats@doctors.org.uk
authors.forename: Nandiran
authors.initials: N
authors.lastname: Ratnavel
authors.forename: Kate
authors.initials: K
authors.lastname: Farrer
authors.forename: Mike
authors.initials: M
authors.lastname: Sharland
authors.forename: Rana
authors.initials: R
authors.lastname: Chakraborty
mesh_terms: 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
chemical_list: D015415:Biomarkers; D002097:C-Reactive Protein