Pediatric Giant Cerebral Candida Abscess: A Case Report

Pediatr Neurosurg. 2019;54(3):207-211. doi: 10.1159/000500678. Epub 2019 Jun 25.

Abstract

Fungal infections of the central nervous system and pediatric brain abscess are rare but serious conditions in terms of morbidity and mortality that need immediate diagnosis and treatment. It can be seen in congenital or acquired immunosuppressed patients as opportunistic infections as well as in low-birth-weight, premature infants with ventriculoperitoneal shunt, external ventricular drainage, or with a history of craniotomy. Our aim is to emphasize the giant cerebral Candida abscess of a 13-month-old female infant who previously had eight ventriculoperitoneal shunt operations due to hydrocephalus. The patient was taken to pediatric emergency care with complaints of feeding difficulty and discomfort and was hospitalized due to the detection of an intracranial mass by contrast-enhanced brain tomography. After total excision of the mass with its capsule, the patient was pathologically diagnosed with Candida abscess, and the treatment was started. The patient was discharged by the end of the 6th week.

Keywords: Abscess; Brain; Pediatric infectious disease; Shunt complication.

Publication types

  • Case Reports

MeSH terms

  • Brain
  • Brain Abscess / surgery*
  • Candida*
  • Candidiasis / drug therapy*
  • Female
  • Fluconazole / therapeutic use*
  • Humans
  • Hydrocephalus / complications*
  • Hydrocephalus / surgery
  • Infant
  • Ventriculoperitoneal Shunt / adverse effects

Substances

  • Fluconazole