Çocukluk Çağı Beyin Abseleri

Yıl 2017, Cilt: 5 Sayı: 1, 1 - 5, 30.04.2017

Feyza Ustabaş Kahraman , Özden Türel Tolga Turan Dündar Mehmet Hakan Seyithanoğlu

https://doi.org/10.21765/pprjournal.412307

Cited By: 1

Öz

Amaç: Otitin komplikasyonu olarak beyin absesi sıklığı azalmışıtır. Sinüzitten kaynaklanan beyin absesi ise hem yetişkinlerde hem çocuklarda önemli bir yer teşkil etmektedir. Bu çalışmada otojenik ve sinojenik kaynaklı 6 beyin absesi vakası sunuyoruz.

Gereç ve yöntem: Ocak 2013 ile Mayıs 2017 tarihleri arasında intrakraniyal abse ile yatırılan çocukların verileri geriye dönük olarak değerlendirildi. Önceden belirleyici faktörler, klinik bulgular ve prognoz belirlendi.

Bulgular: İntrakraniyal abse bulunan 8 çocuk arasında 6’sı otogenik ve / veya sinogenik enfeksiyona sahipti. En sık görülen semptom baş ağrısıydı. İntrakraniyal abse 3 olguda epidural, 3 olguda parankimaldi. Etken patojenler olarak  Streptokok intermedius, Streptococcus pyogenes, Provotella ile Propionibacterium acnes tespit edildi. Tüm çocuklara antibiyoterapi ve cerrahi drenaj uygulandı. Nörolojik sekel ve ölüm gerçekleşmedi.

            Sonuç: Sinüzit ve otitis media; antibiyotik kullanımının artmasına rağmen, beyin abseleri  için hala  önemli birer predispozan faktördür.

Anahtar Kelimeler

beyin, abse, çocuk

Brain Abscess In Children

Öz

Background and aims: Brain abscess as a complication of ear infections has decreased in frequency. By contrast, brain abscess arising from a sinus infection remains an important consideration in both adults and children. Here we present 6 cases with brain abscess due to otogenic or sinogenic complications.

Methods: Data of children hospitalized with intracranial abscess between January 2013 and May 2017 were evaluated retrospectively. Predisposing factors, clinical manifestations, and prognosis were identified

Results: Among 8 children with intracranial abscess 6 had otogenic and/or sinogenic infection. The most frequent symptom was the headache. The intracranial abscess was epidural in 3 cases and parenchymal in 3 cases. Causative pathogens were Streptococcus intermedius, Streptococcus pyogenes, and Propionibacterium acnes with Provotella loescheii.  All children received antibiotics and surgical drainage.  Neurological sequelae and death did not occur

 Conclusion: Despite the increased use of antibiotics, sinüsitis and otitis media is an important predisposing factor for brain abcess.

Anahtar Kelimeler

Brain, Abscess, Children

Kaynakça

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