J Pediatr Infect Dis 2022; 17(03): 170-174
DOI: 10.1055/s-0042-1743503
Case Report

Brain Abscess Caused by Eikenella corrodens in an Immunocompetent Child: Case Report and Literature Review

1   Department of Pediatric Infectious Diseases, University of Health Sciences, Kartal Dr Lutfi Kırdar City Hospital, Istanbul, Turkey
,
Ceren Çetin
1   Department of Pediatric Infectious Diseases, University of Health Sciences, Kartal Dr Lutfi Kırdar City Hospital, Istanbul, Turkey
,
Alara Altıntaş
2   Koc University School of Medicine, Istanbul, Turkey
,
Hikmet Turan Süslü
3   Department of Neurosurgery, University of Health Sciences, Kartal Dr Lutfi Kirdar City Hospital, Istanbul, Turkey
,
Yasemin Akin
4   Department of Pediatrics, University of Health Sciences, Kartal Dr Lutfi Kırdar City Hospital, Istanbul, Turkey
› Author Affiliations

Abstract

ObjectiveEikenella corrodens is a slow-growing, fastidious, non-motile, facultative anaerobic, Gram-negative bacillus that is commonly found in the human oropharynx. Although many cases have been reported in the adult population, only few cases of brain abscesses caused by E.corrodens have been reported in children so far.

Methods Here, we reported the case of a 29-month-old female with complaints of weakness in the right leg twice in the past 3 weeks. Imaging studies revealed a brain abscess in the left parietofrontal lobe. The patient underwent surgery for abscess drainage, microbiological samples were obtained and empirical antibiotic treatment was started. Abscess culture showed the growth of E.corrodens. The bacteria were found to be sensitive to ceftriaxone; hence, the therapy was continued for 46 days with ceftriaxone. A final computed tomography showed the resolution of the abscess. The patient's clinical condition improved and she was discharged without any sequelae.

Conclusion Brain abscess should be considered when patients present with neurological deficits. As far as we know, there are only six reported cases of brain abscesses only due to E.corrodens in the pediatric population. Since it is a slow-growing pathogen, early diagnosis and treatment are crucial for patient survival. This case supports the combination of surgical drainage and antibiotics for treatment.

Authors' Contributions

All authors participated in the drafting of the manuscript and/or critical revision of the manuscript for important intellectual content. All authors read and approved the final manuscript.




Publication History

Received: 28 November 2021

Accepted: 25 January 2022

Article published online:
08 March 2022

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