Brain abscess following meningitis in a neonate: report of three cases.

Patients: Three cases of brain abscess in neonates are reported, 2 of them were caused by Citrobacter meningitis while another case was caused by Klebsiella abscess f ollowing meningitis. All of the abscesses were enormous , and multiple abscesses were observed in 1 case. The abscess es were treated by aspiration and antibiotics. Shunt for hydrocephalus was necessary in all patients. No sources of infection were identified in three cases. The onset of infection was not clear in our cases. Finally, 1 patien t could improvement while the other two patients were died. One extremely rare case of Klebsiella brain abscesses was reported. Conclusion: All neonates with Citrobacter and Klebsiella meningitis should have neuroimaging studies performed due to the substantial risk of associated brain abscesses , even when suspicious signs are absent. Prompt diagnosi s and treatment are essential to reduce the neurological morb idity and the risk of death.

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