Basu S, Mukherjee K K, Poddar B, Goraya J S, Chawla K, Parmar V R
Dept. of Pediatrics, Government Medical College Hospital, Chandigarh, India.
Infection. 2001 Oct;29(5):283-5. doi: 10.1007/s15010-001-1082-1.
A case of solitary brain abscess in a term neonate caused by Kiebsiella pneumoniae is described. K. pneumoniae, although a common cause of neonatal septicemia, is rarely implicated as an etiological agent for cerebral abscess in this age-group. The interest of this case lies in the rarity of the causative organism and atypical features. In the absence of predisposing factors in the neonate, we suspect that the infection was transmitted vertically from the mother before or at the time of delivery since there was evidence of asymtomatic urinary tract infection in the antenatal period.
本文描述了一例由肺炎克雷伯菌引起的足月儿孤立性脑脓肿病例。肺炎克雷伯菌虽是新生儿败血症的常见病因,但在该年龄组中很少被认为是脑脓肿的病原体。该病例的有趣之处在于病原体罕见且具有非典型特征。由于新生儿不存在易感因素,且有产前无症状尿路感染的证据,我们怀疑感染是在分娩前或分娩时由母亲垂直传播的。