Affiliations: Department of Radiodiagnosis and Imaging, Post
Graduate Institute of Medical Sciences, Pt.B.D.Sharma University of Health
Sciences, Rohtak, 124001 (Haryana), India | Department of Pediatric Medicine, Post Graduate
Institute of Medical Sciences, Pt.B.D.Sharma University of Health Sciences,
Rohtak, 124001 (Haryana), India | Department of Biotechnology & Molecular
Medicine, Post Graduate Institute of Medical Sciences, Pt.B.D.Sharma University
of Health Sciences, Rohtak, 124001 (Haryana), India
Note: [] Corresponding author: Dr. Dhara B. Dhaulakhandi, Department of
Biotechnology & Molecular Medicine, Post Graduate Institute of Medical
Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak 124001
(Haryana), India. E-mail: [email protected]
Abstract: Brain abscesses can be bacterial or fungal. It is usually difficult
to distinguish between the two clinically as well as radiologically. However,
careful scrutiny of the radiological images for subtle radiological signs and
proper analysis of serial images can help in narrowing down the diagnosis and
preventing delay in specific treatment. We report an infant who initially
presented with a small parietal hemorrhage and subsequently evolved into
multiple brain abscesses. Since fungi and not bacteria are preferentially known
to invade blood vessels, the infant had a radiological diagnosis of fungal
abscess in the brain. Although the cerebrespinal fluid did not grow any fungal
micro-organism, the infant clinically improved after the administration of
anti-fungal antibiotics. Blood and urine cultures later grew Candida albicans.
