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Images in neonatal medicine
Early cerebral abscesses secondary to enterobacter cloacae sepsis in an extreme preterm
  1. Jia Yi Leow,
  2. Lee Abbott
  1. Department of Neonatal Intensive Care, Royal Stoke University Hospital, Stoke on Trent, UK
  1. Correspondence to Dr Jia Yi Leow, Department of Neonatal Intensive Care, Royal Stoke University Hospital, Stoke on Trent ST4 6QG, UK; jiayi_7{at}hotmail.com, jleow{at}nhs.net

https://doi.org/10.1136/archdischild-2016-311311

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    Neonatal cerebral abscess is a rare but serious complication of sepsis, with high mortality and morbidity. We present a case of enterobacter cerebral abscesses in a 26+1-week gestation infant with birth weight of 850 g, managed conservatively.

    Baby A was born in poor condition after prolonged rupture of membranes, requiring full resuscitation. He developed profound sepsis with blood cultures positive for Enterobacter cloacae at 12 hours. First-line antibiotics (benzylpenicillin and gentamicin) were changed to meropenem. Serial cranial ultrasound scans showed …

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    Footnotes

    • Contributors JYL as first author/correspondence. LA as supervising consultant/author.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Data sharing statement This case was presented at the recent British Paediatric Neurology Association meeting in Sheffield 2016.