ISSN:2167-7964

Journal of Radiology
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  • Case Report   
  • OMICS J Radiol 2019, Vol 8(2): 306
  • DOI: 10.4172/2167-7964.1000306

Cerebral Abscess Caused by Streptococcus agalactiae: An Unusual Presentation

Fuentes A1*, Charry M2 and Donato A2
1Department of Pediatrics, Military University Nueva Granada, Bogotá DC, Colombia
2Neuroradiology Division, Department of Radiology, Central Military Hospital, Bogotá DC, Colombia
*Corresponding Author : Fuentes A, Pediatrician, Department of Pediatrics, Military University Nueva Granada, Bogotá DC, Colombia, Tel: +57 1 6500000, Email: Afuentesacosta@hotmail.com

Received Date: Dec 10, 2018 / Accepted Date: Feb 20, 2019 / Published Date: Feb 28, 2019

Abstract

During the first three months of life, Group B streptococcus or Agalactiae (GBS) can cause meningitis and be associated with cerebrovascular accidents resulting from sepsis and infection of the central nervous system. This article presents the unusual case of a female infant who was afflicted with GBS, meningitis, sepsis complicated by septic shock, ischemic lesions secondary to inflammatory vacuities and a cerebral abscess accompanied by epileptic seizures with a hypsarrythmia electroencephalographic pattern. A long-term NICU stay with antibiotic management, inotropic support and antiepileptic treatment succeeded in resolving the acute stage of the illness. Out-patient follow-up revealed increased muscle-tone but delayed neurological development. While this improved significantly with integral rehabilitative therapy, a slight delay still remained. Neuroimaging follow-up at 18 months found malacia-area and core retractions in the left caudate nucleus.

Keywords: Brain abscess; Cerebral abscess; Group B streptococcus; Streptococcus agalactiae; Meningitis; Infant

Citation: Fuentes A, Charry M, Donato A (2019) Cerebral Abscess Caused by Streptococcus agalactiae: An Unusual Presentation. OMICS J Radiol 8:306 Doi: 10.4172/2167-7964.1000306

Copyright: © 2019 Fuentes A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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