Management of brain abscesses in children.

Results In the aforementioned period we registered 12 cases of bacterial brain abscesses in children. The female gender and the 8 to 14 age group have prevailed. 50% of cases presented a congenital heart defect, 25% untreated bacterial infections, 12.5% a history of craniocerebral injury and 12.5% presented no evident predisposing cause. The onset consisted of: fever, vomiting, nausea, seizures, neurological problems. All of the cases required emergency neurosurgical treatment and specific antibiotherapy. Before the etiology of the infection was established, patients received empiric broad spectrum antibiotherapy (meropenem and linezolid), with subsequent antibiotic de-escalation over the next 6 weeks. The treatment was monitored clinically, biologically and with imaging studies. The evolution was favorable in all cases. No deaths were registered. Neurological sequelae were present in 41.7% of the cases: hemiparesis, sight and speech problems, psycho-motor impairment, seizures.