Pseudomonas Pseudoalcaligenes Caused Otogenic Cerebellar Brain Abscess In Indonesian Child

• Main Authors: Prastiya Indra Gunawan, Prastiya, Achmad Chusnu Romdhoni, Achmad
• Format: Article PeerReviewed
• Language: English; Indonesian; English
• Published: Institute of Medico-legal Publication
• Subjects: R5-920 Medicine (General)
• Online Access: https://repository.unair.ac.id/125787/1/Artikel.pdf; https://repository.unair.ac.id/125787/2/4.Karil.pdf; https://repository.unair.ac.id/125787/3/3.%20Turnitin.pdf; https://repository.unair.ac.id/125787/; https://www.medicopublication.com/index.php/ijfmt/article/view/15901/14260; https://doi.org/10.37506/ijfmt.v15i3.15901
• Institution: Universitas Airlangga

Abstract Otogenic brain abscess is a common intracranial complication from chronic supurative otitis media. Pseudomonas pseudoalcaligenes is a rare cause of brain abscess. Prompt diagnosis and decision making is significant in order to decrease the mortality rate from this type of abscess. We described A 13-year-old boy presented with decreased consciousness, positive meningeal signs, and pathological reflexes. There was a history of chronic suppurative otitis media. A head CT scan revealed multiple left cerebellar abscesses and brain edema. The abscess wall culture revealed P. pseudoalcaligenes. After being managed with surgical abscess drainage, mastoidectomy, ear flushing, and antimicrobial therapy for six weeks, his consciousness level improved. Cerebellar neurological impairment was still observed. Physical and neurological rehabilitation was performed in order to improve the patient’s condition