%0 Journal Article
%T Cerebral abscess caused by Serratia marcescens in a premature neonate
%A Hirooka
%A Tatiana Mattos
%A Fontes
%A Ricardo Braganca de Vasconcellos
%A Diniz
%A Edna Maria
%A Pinto
%A Fernando Campos
%A Matushita
%A Hamilton
%J Arquivos de Neuro-Psiquiatria
%D 2007
%I Academia Brasileira de Neurologia - ABNEURO
%R 10.1590/S0004-282X2007000600021
%X background: cerebral abscesses are extremely rare in neonates. serratia marcescens is an unusual cause of sepsis and neurological spread is especially ominous. purpose: to report the case of a 34-week neonate who developed this rare condition and to discuss diagnostic and therapeutic measures. case reprt: a 34-week male neonate sequentially developed respiratory distress syndrome, early sepsis and necrotizing enterocolitis; later cultures revealed s. marcescens. after deterioration, a cerebral abscess became evident, which revealed s. marcescens. clinical improvement ensued after high-dose amikacin and meropenem. conclusion: clinical signs are often non-specific. proper diagnostic measures, neurosurgical consultation and aggressive antibiotic therapy are essential for these high-risk neonates.
%K brain abscess
%K infant
%K premature
%K intensive care
%K neonatal
%K meningoencephalitis
%K serratia marcescens.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0004-282X2007000600021&lng=en&nrm=iso&tlng=en