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Year : 2017  |  Volume : 12  |  Issue : 4  |  Page : 367-370

Mycotic cerebral aneurysm in a premature infant

1 Neonatal-Perinatal Medicine, University of Tennessee, Knoxville, Tennessee, USA
2 Pediatric pulmonology, Nationwide Children’s Hospital, Columbus, Ohio, USA
3 Department of Neurosurgery, University of Cartagena, Cartagena, Colombia, Mexico
4 Department of Radiology, Hospital General Dr. Manuel Gea Gozalez, National Autonomous University of Mexico, Mexico City, Mexico

Correspondence Address:
Jr. John T Meadows
Division of Neonatology, University of Tennessee Medical Center, 1920 Alcoa Highway, Box U-38, Knoxville 37920, Tennessee, USA

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JPN.JPN_94_17

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Mycotic cerebral aneurysms in neonates are extremely rare and can be difficult to diagnose without a high index of suspicion. We describe a 33-week gestation preterm neonate who developed a mycotic cerebral aneurysm leading to death before repair could be performed. We believe this to be the first literature reported case of a mycotic cerebral aneurysm in a preterm infant. This case revives the ongoing question of when to perform a lumbar puncture in a potentially septic or meningitic infant, while also casting light on maintaining a high index of suspicion for rare intracranial diagnoses that require cranial imaging.


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