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Neonatal brain abscess development following fetal scalp electrode placement: a rare complication

A fetal scalp electrode (FSE) is a frequently used investigation during labor. However, it is an invasive procedure which can lead to complications. Our patient developed a very large brain abscess after initial superficial infection of the skin site due to an FSE. The patient was admitted to the ho...

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Autores principales: Fick, T., Woerdeman, P. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8724088/
https://www.ncbi.nlm.nih.gov/pubmed/33825051
http://dx.doi.org/10.1007/s00381-021-05150-7
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author Fick, T.
Woerdeman, P. A.
author_facet Fick, T.
Woerdeman, P. A.
author_sort Fick, T.
collection PubMed
description A fetal scalp electrode (FSE) is a frequently used investigation during labor. However, it is an invasive procedure which can lead to complications. Our patient developed a very large brain abscess after initial superficial infection of the skin site due to an FSE. The patient was admitted to the hospital after an asymmetric growth of the skull was noticed with no further signs of clinical illness. MRI showed a very large brain abscess which was aspirated and treated with antibiotics for 10 weeks. A 2-year follow-up showed only a slight developmental delay in gross motor skills. Only once before a similar case has been described at which the patient developed a brain abscess after superficial infection of the scalp following an FSE. In both cases, the brain abscess was noticed due to an asymmetric growth of the skull without any further signs of clinical illness. A brain abscess has a high mortality and morbidity rate, and early diagnosis is vital for the optimal outcome. We therefore recommend to organize an out-patient clinical follow-up for every infant with a superficial infection of the skin site after placement of an FSE.
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spelling pubmed-87240882022-01-13 Neonatal brain abscess development following fetal scalp electrode placement: a rare complication Fick, T. Woerdeman, P. A. Childs Nerv Syst Case Report A fetal scalp electrode (FSE) is a frequently used investigation during labor. However, it is an invasive procedure which can lead to complications. Our patient developed a very large brain abscess after initial superficial infection of the skin site due to an FSE. The patient was admitted to the hospital after an asymmetric growth of the skull was noticed with no further signs of clinical illness. MRI showed a very large brain abscess which was aspirated and treated with antibiotics for 10 weeks. A 2-year follow-up showed only a slight developmental delay in gross motor skills. Only once before a similar case has been described at which the patient developed a brain abscess after superficial infection of the scalp following an FSE. In both cases, the brain abscess was noticed due to an asymmetric growth of the skull without any further signs of clinical illness. A brain abscess has a high mortality and morbidity rate, and early diagnosis is vital for the optimal outcome. We therefore recommend to organize an out-patient clinical follow-up for every infant with a superficial infection of the skin site after placement of an FSE. Springer Berlin Heidelberg 2021-04-06 2022 /pmc/articles/PMC8724088/ /pubmed/33825051 http://dx.doi.org/10.1007/s00381-021-05150-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Fick, T.
Woerdeman, P. A.
Neonatal brain abscess development following fetal scalp electrode placement: a rare complication
title Neonatal brain abscess development following fetal scalp electrode placement: a rare complication
title_full Neonatal brain abscess development following fetal scalp electrode placement: a rare complication
title_fullStr Neonatal brain abscess development following fetal scalp electrode placement: a rare complication
title_full_unstemmed Neonatal brain abscess development following fetal scalp electrode placement: a rare complication
title_short Neonatal brain abscess development following fetal scalp electrode placement: a rare complication
title_sort neonatal brain abscess development following fetal scalp electrode placement: a rare complication
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8724088/
https://www.ncbi.nlm.nih.gov/pubmed/33825051
http://dx.doi.org/10.1007/s00381-021-05150-7
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