Cerebellar Staphylococcal Abscess Accompanied with High Alfa-Fetoprotein in a Young Infant

AUTHORS

Mostafa El-Khashab 1 , Taraneh Hashemi Zonouzi 2 , Iman Moeini Naghani 3 , Farideh Nejat 4 , *

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How to Cite: El-Khashab M, Hashemi Zonouzi T, Moeini Naghani I, Nejat F. Cerebellar Staphylococcal Abscess Accompanied with High Alfa-Fetoprotein in a Young Infant, Iran J Pediatr. 2012 ; 22(4):539-542.

ARTICLE INFORMATION

Iranian Journal of Pediatrics: 22 (4); 539-542
Published Online: February 01, 2012
Article Type: Case Report
Received: May 20, 2011
Accepted: March 10, 2012

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Abstract

Background: Brain abscess in young infants is extremely rare and usually associated with a previous history of bacterial meningitis or septicemia.
Case Presentation: Here we report a cerebellar abscess mimicking brain tumor with atypical clinical and paraclinical presentations. A two-month old previously well-baby boy was referred to us with persistent vomiting, strabismus and developmental regression. The brain imaging showed a right cerebellar mass with multiple small cysts inside the lesion. Elevated serum alfa-fetoprotein associated with cystic and solid posterior fossa mass proposed the preoperative diagnosis of teratoma but tumor cells were not found inside the pathology specimen. The culture of the sample was positive for staphylococcus aureus.
Conclusion: The interest of this case lies in the atypical features of clinical and radiological evaluations in a young infant associated with an abnormal alfa-fetoprotein level of serum.

 

Keywords

Brain Mass Staphylococcus aureus Infancy Fetoprotein

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