Fusobacterium brain abscess as a complication of sinusitis in an immunocompetent adolescent: A case report

Table 2 Pediatric cases of Fusobacterium brain abscess in different clinical settings

Ref.	Age/sex	Risk factors	Findings (organism and imaging)	Treatment and outcome
Multiple brain abscesses and bacteremia (Meis et al[11], 1993)	6 years/female	Recent Mycoplasma pneumoniae infection	Fusobacterium necrophorum; multiple brain abscesses	Penicillin G + metronidazole × 2 months → complete recovery
Brain abscess after intraoral laceration (Ochi et al[12], 2020)	9 years/female	Cyanotic CHD; intraoral trauma	Fusobacterium nucleatum + others; single abscess (15 mm × 10 mm) in left internal capsule with edema	Craniotomy drainage + ceftriaxone × 8 weeks → good recovery
Unusual neurological presentation (Haddad et al[13], 2016)	2 years/female	Tonsillitis; delayed treatment	Fusobacterium necrophorum; multiple cerebral abscesses + subdural empyema	Meropenem × 6 weeks + surgery → favorable outcome
Current case (present report)	15 years/male	Acute bacterial sinusitis; immunocompetent	Fusobacterium nucleatum; bilateral frontal subdural abscess with empyema	Burr-hole drainage + ceftriaxone + metronidazole × 4 weeks → full recovery

CHD: Congenital heart disease.