Roberts John, Bartlett Allison H, Giannoni Carla M, Valdez Tulio A
Department of Pediatric Otolaryngology, Texas Children's Hospital, 6701 Fannin Suite, Houston, TX 77030, United States.
Int J Pediatr Otorhinolaryngol. 2008 Feb;72(2):265-9. doi: 10.1016/j.ijporl.2007.10.006. Epub 2007 Nov 26.
We report two cases of intracranial abscess in pediatric patients secondary to aspirated foreign bodies. Although foreign bodies are a significant cause of morbidity and mortality in the pediatric population, only four previous cases have been reported that resulted in a brain abscess. Our patients presented with neurological symptoms, and both were found to have a sharp foreign body in the bronchus. Both had brain abscesses caused by bacteria that normally colonize the aerodigestive tract with no other source of bacterial foci. When respiratory flora are isolated from brain abscesses in the absence of other possible sources, intrabronchial foreign body should be considered in evaluation of the etiology.
我们报告了两例继发于误吸异物的小儿颅内脓肿病例。尽管异物是小儿群体发病和死亡的重要原因，但此前仅有4例导致脑脓肿的病例报道。我们的患者均出现神经症状，且均被发现支气管内有尖锐异物。两者的脑脓肿均由通常定植于气道消化道的细菌引起，无其他细菌病灶来源。当在没有其他可能来源的情况下从脑脓肿中分离出呼吸道菌群时，在评估病因时应考虑支气管内异物。
