Annals of Indian Academy of Neurology (Jan 2014)

Candida tropicalis brain abscess in a neonate: An emerging nosocomial menace

  • Sangeetha Yoganathan,
  • Biswaroop Chakrabarty,
  • Sheffali Gulati,
  • Ajay Kumar,
  • Atin Kumar,
  • Manmohan Singh,
  • Immaculata Xess

DOI
https://doi.org/10.4103/0972-2327.144036
Journal volume & issue
Vol. 17, no. 4
pp. 448 – 450

Abstract

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Fungi are a relatively uncommon cause of brain abscess in neonates and early infancy. They are usually associated with predisposing factors like prematurity, low birth weight, use of broad-spectrum antibiotics, and prolonged stay in the intensive care unit. Candida tropicalis (C. tropicalis) is rapidly emerging as a nosocomial threat in the neonatal intensive care settings. This case report describes a neonate with C. tropicalis brain abscess who was diagnosed early and managed aggressively with a favorable outcome. Inadvertent use of intravenous antibiotics can have serious complications such as invasive fungal infection. Correct microbiological diagnosis is the key to successful treatment of deep-seated pyogenic infection. Fungal etiology should always be studied in relevant clinical settings.

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