Intracerebral hematoma complicated with brain abscess in an infant. Case report.
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.
Eser
Olcay
O
Department of Neurosurgery, Kocatepe University, Faculty of Medicine, Afyonkarahisar, Turkey. drolcayeser@hotmail.com
Cosar
Murat
M
Aslan
Adem
A
Koken
Resit
R
Aktepe
Fatma
F
Eser
Betul
B
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*