Haemophilus paraphrophilus brain abscess in a 9-year-old boy: Case report and literature review

Main Authors: ZRIKEM, Hind, AIT SAID, Loubna, ZAHLANE, Kawtar
Format: Article info application/pdf eJournal
Bahasa: eng
Terbitan: Hasanuddin University , 2020
Online Access: http://journal.unhas.ac.id/index.php/ijoab/article/view/9187
http://journal.unhas.ac.id/index.php/ijoab/article/view/9187/5450
Daftar Isi:
  • Human diseases due to A. paraphrophilus aren’t usual. The following case report describes the first isolated case of A. paraphrophilus brain abscess in our laboratory. A 9-year-old boy presented to pediatric emergencies for frontal headache, vomiting, blurred vision and left hemiparesis. Radiological diagnosis consists with a frontal abscess. Gram staining of purulent samples showed abundant neutrophils with gram negative bacilli. Culture was made on blood agar, chocolate agar, Chapman’s agar and incubated in 5% CO2 at 37°C for 24 hours. Positive culture was detected only on chocolate agar. It was monomicrobial with small yellowish non-hemolytic colonies. Gram stain of colonies showed pleomorphic gram-negative coccobacilli. The strain required V factor for growth. The isolated strain was sensitive to all antibiotics tested. The interest of this case is that it shows the emergence of A. paraphrophilus as a causative agent of brain abscesses on pediatric population without associated congenital heart disease. It may also help identifying risk factors of these infections and how to prevent them.