[Evaluation of the ring sign in capillary and venous phases of internal carotid artery angiography in supratentorial brain abscesses].
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Brain Abscess↗
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Incidence and prognosis of brain abscess in a defined population: Olmsted County, Minnesota, 1935-1981.
The incidence of brain abscess was studied on all cases occurring in residents of Olmsted County, Minn., from 1935 through 1981. Thirty-eight cases (9 cases first diagnosed at autopsy) were identified and followed through the Rochester Olmsted County medical record-linkage system at the Mayo Clinic. The incidence rate was 1.3/100,000 person-years (PY), 1.9 in males and 0.6 in females. Incidence decreased from 2.7 in 1935-44 to 0.9 in 1965-81. Rates were higher in children 5-9 years old (2.4) and after age 60 (2.6 PY). An etiologic agent was identified in 29 cases (76%) with streptococci being the most frequently isolated. Case-fatality ratio was 38% (11/29), stable over time. Concurrent bacterial meningitis was the strongest predictor of death. Neurologic sequelae were observed in 8 (44%) of the 18 surviving patients including epilepsy (5 cases), deafness and motor impairment.
Brain Abscess↗
Brain abscess caused by Salmonella enterica subspecies houtenae in a patient with chronic granulomatous disease.
A 44-month-old boy with chronic granulomatous disease has been suffering from fever and skin rash for 7 days prior to admission. The blood culture obtained on admission revealed Salmonella enterica subspecies houtenae. He received intravenous ceftriaxone therapy during his hospital stay and oral cefixime after discharge. Unfortunately, the same symptoms recurred 2 weeks after discontinuing cefixime and the culture from the aspirate of a skin nodule yielded the same microorganism again. He received intravenous ceftriaxone therapy after readmission and became afebrile 3 days later. However, focal seizure was noted on the 14th day of hospitalization. Brain magnetic resonance imaging revealed multiple brain abscesses, and electroencephalogram showed epileptiform activity. The intravenous antimicrobial agents were continued for a total of 84 days and interferon-gamma was administered as adjunctive therapy. Finally, he recovered from brain abscesses without any neurologic sequel. It is suggested that an extended course of antimicrobial treatment is necessary for chronic granulomatous disease with pyogenic infection because of the defective intracellular killing ability.
Anti-Bacterial Agents↗
Persistent periodic hiccups following brain abscess: a case report.
A case is reported of a patient with periodic persistent hiccups and secondary generalised epilepsy lasting for a period of five years following a right temporal brain abscess. The recurring episodes of hiccups had a ten day rhythmicity and unlike epileptic convulsions were unresponsive to treatment.
Adult↗
Resection of multiple nocardial brain abscesses: diagnostic role of computerized tomography.
We present a case of multiple brain lesions in which the preoperative computerized tomographic (CT) scan suggested the presence of brain abscesses rather than metastatic tumors. The patient presented with symptoms of left frontal and right cerebellar mass lesions, confirmed by carotid and vertebral arteriography and a radionuclide brain scan. A CT scan revealed multiple contiguous ring-enhancing lesions of various sizes at both sites. With the exception of a prior mild pulmonary infection, no findings suggested underlying malignancy, immunosuppression, or medical illness. We based our decision to administer antibiotics preoperatively on the presumed presence of abscess. We found and totally removed two multiloculated abscesses during one operation and initiated sulfa drug therapy (sulfisoxazole) immediately after identification of the Nocardia organism. The patient experienced no postoperative complications and at 6-months follow-up is clinically free of disease.
Brain Abscess↗
Brain abscess decades after a penetrating shrapnel injury.
We describe a patient who developed a brain abscess 52 years after sustaining a penetrating craniocerebral shrapnel injury. For 10 years he had suffered from diabetes mellitus, a disorder known to predispose to infections from a diminished body defence. The treatment and aetiology of this rare occurrence is discussed.
Aged↗
Shunt-related brain abscess and ascending shunt infection.
We report the fifth case of shunt-related brain abscess. Two prior cases have been associated with colonic perforation and infection with gram-negative enteric organisms. These cases strongly suggest that ascending shunt infection is possible despite bulk cerebrospinal fluid flow in the opposite direction and add to our understanding of shunt infections.
Brain Abscess↗
Unrecognized Candida brain abscess in infancy: two cases and a review of the literature.
Two infants with presumed Candida species brain abscesses are presented. Six other infants with the same problem were found in a search of the literature, and some of the clinical and pathologic features of these patients are presented and discussed. All diagnoses were made post-mortem. There was frequent association with gastrointestinal pathology and subsequent surgery, and with antibiotic administration. Central nervous system signs and symptoms were not a prominent feature, and although most patients had disseminated candidiasis, one patient had an isolated macroscopic cerebral abscess.
Brain Abscess↗
[On paradoxal brain abscesses].
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Brain Abscess↗
[Our experiences in diagnosis and therapy of brain abscess].
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Brain Abscess↗
Mycoplasma hominis and Ureaplasma species brain abscess in a neonate.
We report an infant with a mixed Mycoplasma and Ureaplasma brain abscess who was successfully treated with intravenous doxycycline and erythromycin. Therapeutic concentrations of doxycycline were demonstrated in cerebrospinal fluid. This report is evidence of the potential for Mycoplasma and Ureaplasma to produce focal central nervous system infection, as well as meningitis, in neonates and that use of doxycycline can be efficacious in the therapy of such infections.
Anti-Bacterial Agents↗
Brain abscess treated by continuous antibiotic perfusion: technical note.
Between 1982 and 1988, eleven patients with brain abscess were treated by craniotomy and continuous closed system antibiotic irrigation. By the use of this technique, repetitive abscess aspirations were not necessary.
Adolescent↗
Unusual presentation of a case of brain abscess after endoscopic injection sclerotherapy of esophageal varices.
Although an increasing number and variety of complications of endoscopic injection sclerotherapy (EIS) of bleeding esophageal varices have been reported, infectious complications are rare. A case of brain abscess following EIS is reported which was characterised by an unusual clinical presentation in that there was no fever or leucocytosis. This presentation could have led to the abscesses being mistaken for brain metastases. The outcome of antimicrobial therapy was favorable which provided further evidence in support of the diagnosis.
Anti-Bacterial Agents↗
Clostridial brain abscesses.
Ten patients with clostridial abscesses of the brain are presented. Despite the presence of gas within the cerebral hemispheres and Clostridium welchii cultured from the pus obtained, the outcome of all patients managed with burrhole aspiration of the abscess was good. There were no deaths and eight of the ten patients had no residual deficit. Clostridial infections of the brain, unlike those of the soft tissues of the body, have a good outcome with conservative surgery and appropriate antibiotics.
Adolescent↗
Cerebellar brain abscess associated with tongue piercing.
We describe a previously healthy adult who had a solitary cerebellar brain abscess diagnosed. This infection occurred 4 weeks after the patient underwent a tongue piercing procedure that was complicated by an apparent local infection. The clinical history, abscess culture results, and lack of an alternative explanation suggest that infection of the tongue piercing site was the source of the cerebellar abscess.
Adult↗
Brain abscess caused by Salmonella typhi. Case report.
The authors report a rare case of a brain abscess associated with osteomyelitis caused by Salmonella typhi that remained in contact with human tissues for 33 years without losing its virulence.
Brain Abscess↗
[Brain abscess in chronic otitis media: a case report].
The authors have presented a case of brain abscess during chronic otitis media. They have described a treatment, complications and reasons of failure.
Adult↗
Brain abscess from a ganglionic hemorrhage--a case report.
We present a unique case of a brain abscess that occurred secondary to a ganglionic hemorrhage in a 64-year-old man. This abscess appeared to be metastatic after septicemia. Aspiration with antibiotics eliminated this infection.
Basal Ganglia Diseases↗