title: Intracerebral hematoma complicated with brain abscess in an infant. Case report.
abstract: A 45-day-old infant presented with a rare case of intracerebral hematoma complicated with brain abscess which developed after vitamin K deficiency. He was admitted to our emergency department with complaints of fever and confusion. Physical, neurological, and laboratory examinations and cranial computed tomography identified vitamin K deficiency and intracerebral hematoma. He started to suffer convulsions. The patient underwent surgery. A brain abscess was discovered with an intracerebral hematoma. The intracerebral hematoma and abscess were evacuated and antibiotic therapy was initiated. Convulsions became rare and were controlled with midozalam administration. Follow-up computed tomography after 6 months showed encephalomalacic changes in the temporoparietal area. If feeding depends only on human milk, the amount of vitamin K prophylaxis given to neonates should be increased to support vitamin K related factors.
authors.affiliation: Department of Neurosurgery, Kocatepe University, Faculty of Medicine, Afyonkarahisar, Turkey. drolcayeser@hotmail.com
authors.forename: Olcay
authors.initials: O
authors.lastname: Eser
authors.forename: Murat
authors.initials: M
authors.lastname: Cosar
authors.forename: Adem
authors.initials: A
authors.lastname: Aslan
authors.forename: Resit
authors.initials: R
authors.lastname: Koken
authors.forename: Fatma
authors.initials: F
authors.lastname: Aktepe
authors.forename: Betul
authors.initials: B
authors.lastname: Eser
mesh_terms: D001922:Brain Abscess / Q000209:etiology*; D002543:Cerebral Hemorrhage / Q000209:etiology*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D014813:Vitamin K Deficiency / Q000150:complications*