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Chae, Park, Jeong, Kim, Cho, and Kim: A Case of Incidentally Discovered Multiple Disseminated Fungal Brain Abscess in Asymptomatic Very Low Birth Weight Infant
Case Report

Perinatology 2017; 28(1): 20-24.

Published online: 31 March 2017

DOI: https://doi.org/10.14734/PN.2017.28.1.20

A Case of Incidentally Discovered Multiple Disseminated Fungal Brain Abscess in Asymptomatic Very Low Birth Weight Infant

Min Hyuk Chae, MD, Sang Kyu Park, MD, Ji Yoon Jeong, MD, Do-Hyun Kim, MD, PhD, Sung-Min Cho, MD, PhD, Hee Sup Kim, MD, PhD

Department of Pediatrics, Dongguk University Ilsan Hospital, Goyang, Korea.

Correspondence to: Do-Hyun Kim, MD, PhD. Department of Pediatrics, Dongguk University Ilsan Hospital, 27, Dongguk-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, 411-373, Korea. Tel: +82-31-961-7184, Fax: +82-31-961-7182, dayeong1@hanmail.net

Received 17 October 2016       Revised 24 December 2016       Accepted 4 January 2017

Copyright © 2017 The Korean Society of Perinatology

(open-access, http://creativecommons.org/licenses/by-nc/4.0/):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Neonatal brain abscess is a very rare disease. Despite improvement of survival rate of premature infants due to the development of neonatal intensive therapy, it is still one of the important causes of death or sequelae of neonate. Fungal infection is unusual cause of neonatal brain abscess and the neonatal fungal brain abscess is a secondary result of hematogenous seeding that is rarely discovered primarily. We present a case of incidentally discovered multiple disseminated fungal brain abscess in asymptomatic very low birth weight infant.

Keywords: Fungi, Brain abscess, Very-low-birth-weight infant

Figures and Tables

Fig. 1

Brain sonography on 25th hospital day. Newly developed numerous ovoid nodular hyperechoic lesion in whole brain.

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Fig. 2

Contrast Brain MRI on 30th hospital day. Numerous small disseminated hyperintense lesions involving both cerebral white matter and both basal ganglia.

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Fig. 3

Kidney sonography on 50th hospital day. Bright echoic lesions at both kidney calyx suggesting renal fungus ball.

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Fig. 4

Contrast Brain MRI on 81th hospital day. Improved state with several residual calcified granulomas.

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