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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 2008-2150
Vol. 22, No. 4, 2012, pp. 539-542
Bioline Code: pe12099
Full paper language: English
Document type: Case Report
Document available free of charge

Iranian Journal of Pediatrics, Vol. 22, No. 4, 2012, pp. 539-542

 en Cerebellar Staphylococcal Abscess Accompanied with High Alfa-Fetoprotein in a Young Infant
El-Khashab, Mostafa; Zonouzi, Taraneh Hashemi; Naghani, Iman Moeini & Nejat, Farideh

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 check for this species in other resources .
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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