12,138 results match your criteria Brain Abscess

MR imaging spectrum in COVID associated Rhino-Orbito-Cerebral mucormycosis with special emphasis on intracranial disease and impact on patient prognosis.

Eur J Radiol 2022 May 6;152:110341. Epub 2022 May 6.

Department of Ophthalmology, Maulana Azad Medical College and Guru Nanak Eye Centre, New Delhi 110002, India.

In the wake of the ongoing Coronavirus Disease 2019 (COVID-19) pandemic, a new epidemic of COVID associated mucormycosis (CAM) emerged in India. Early diagnosis and prompt treatment of this deadly disease are of paramount importance in improving patient survival. MRI is the cornerstone of diagnosis of early extrasinus disease, particularly intracranial complications which have traditionally been associated with a high mortality rate. Read More

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Hereditary Hemorrhagic Telangiectasia and Arterio-Venous Malformations-From Diagnosis to Therapeutic Challenges.

J Clin Med 2022 May 7;11(9). Epub 2022 May 7.

Sf. Spiridon Emergency Hospital, 700111 Iași, Romania.

Hereditary hemorrhagic telangiectasia is a rare autosomal dominant vascular disease defined by the presence of mucosal and cutaneous telangiectasia and visceral arterio-venous malformations. The latter are abnormal capillary-free direct communications between the pulmonary and systemic circulations with the following consequences: arterial hypoxemia caused by right-to-left shunts; paradoxical embolism with transient ischemic attack or stroke and brain abscess caused by the absence of the normally filtering capillary bed; and hemoptysis or hemothorax due to the rupture of the thin-walled arterio-venous malformations (particularly during pregnancy). It is frequently underdiagnosed, commonly presenting as complications from shunting through arterio-venous malformations: dyspnea, chronic bleeding, or embolism. Read More

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Role of imaging in CNS infections.

Indian J Pathol Microbiol 2022 May;65(Supplement):S153-S163

Department of Radiology, Apollo Hospitals, Sheshadripuram, Bangaluru, Karnataka, India.

Neuroinfections are seen in both adults and children. These can result in serious morbidity and if left untreated and/or associated with comorbidities can be life threatening. Cross-sectional imaging like computed tomography (CT) and magnetic resonance imaging (MRI) are advised by the clinicians for the diagnosing, confirmation of the diagnosis, assess any complications of the infection, and also for follow up. Read More

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Complex Infection as a Rare Cause of Cerebral Mass Lesion and IRIS in a Patient With AIDS: Case Report and Review of the Literature.

Open Forum Infect Dis 2021 Nov 30;8(11):ofab450. Epub 2021 Oct 30.

Division of HIV, Infectious Diseases and Global Medicine, Department of Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco, California, USA.

A patient with advanced HIV/AIDS presented with a brain abscess. While brain biopsy culture and pathology were unrevealing, universal broad-range polymerase chain reaction (uPCR) demonstrated complex (MAC). We review the clinicopathologic characteristics of MAC brain abscesses and highlight the effectiveness of uPCR as a diagnostic tool in partially treated infections. Read More

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November 2021

Post-traumatic cholesteatoma causing a brain abscess presenting 29 years after head injury.

Eur Ann Otorhinolaryngol Head Neck Dis 2022 May 6. Epub 2022 May 6.

Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Center Sestre milosrdnice, Vinogradska cesta 29, Zagreb, Croatia; School of Medicine, University of Zagreb, Šalata 3b, Zagreb, Croatia. Electronic address:

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CNS Melioidosis: A Diagnostic Challenge.

Neurol India 2022 Mar-Apr;70(2):778-780

Department of Neurology, Institute of Neurosciences Kolkata, 185/1 A.J.C. Bose Road, Kolkata, West Bengal, India.

Melioidosis is an emerging tropical disease. Central nervous system (CNS) melioidosis may present as a brain abscess or encephalomyelitis mimics tuberculosis. Early diagnosis and management decreases mortality as well as morbidity. Read More

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Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report.

Cureus 2022 Apr 7;14(4):e23907. Epub 2022 Apr 7.

Neurology, Sisters of St. Mary (SSM) Health DePaul Hospital, St. Louis, USA.

Ventriculitis is the inflammation of the ependymal lining of the ventricles in the brain which usually occurs as a complication of meningitis, intraventricular devices, intracranial surgery, or brain abscess. Common clinical features include fever, altered mental status, headache, and neck rigidity. Some commonly associated organisms are gram-negative , , and Here, we report the case of a 57-year-old female presenting with fever, headache, and altered mental status, along with positive physical examination findings of Kernig's and Brudzinski's signs without any focal neurological deficits. Read More

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Ultrasonography through the craniectomy in the diagnosis of brain abscess.

Issac Cheong

J Clin Ultrasound 2022 May 7. Epub 2022 May 7.

Department of Critical Care Medicine, Sanatorio De los Arcos, Buenos Aires, Argentina.

Brain abscess is a focal area of necrosis, which may occur after neurosurgical procedures. Transcranial color-coded duplex sonography (TCCS) is a valuable tool of monitoring in the intensive care unit (ICU), providing information in B-mode, color and pulsed wave Doppler mode. We describe the case of a critically ill patient with brain abscess diagnosed by TCCS. Read More

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Isolated amoebic brain abscess with excellent therapeutic response.

Rev Soc Bras Med Trop 2022 29;55:e00502022. Epub 2022 Apr 29.

Uniclinic Diagnóstico por Imagem, Fortaleza, CE, Brasil.

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Emphysematous Liver Abscess and Disseminated Hypervirulent Infection in a Patient from Southern India.

Indian J Crit Care Med 2022 Mar;26(3):381-383

Department of Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

The pyogenic liver abscess is usually polymicrobial and is seen as a complication of biliary disease or peritonitis. Over the past three decades, monomicrobial liver abscess caused by is being increasingly reported from South East Asian countries like Taiwan and Korea. It is a community-acquired infection caused by a distinct strain, hypervirulent , different from classical strain related to the healthcare-associated infections. Read More

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Brain abscess caused by infection in systemic lupus erythematosus patient with steroid therapy.

Surg Neurol Int 2022 8;13:126. Epub 2022 Apr 8.

Department of Neurosurgery, Osaka Medical and Pharmaceutical University, Takatsuki City, Osaka, Japan.

Background: is an aerobic Gram-negative bacillus belonging to actinomycetes and has been reported to be an infectious disease in healthy individuals. However, more than 60% have some underlying illnesses and are said to be opportunistic infections.

Case Description: The case was a 69-year-old man who had been on long-term steroids for systemic lupus erythematosus. Read More

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Can MRI differentiate between ring-enhancing gliomas and intra-axial abscesses?

Vet Radiol Ultrasound 2022 May 4. Epub 2022 May 4.

Diagnostic Imaging Department, Veterinary Hospital "I Portoni Rossi" Anicura Italy, Zola Predosa, Bologna, Italy.

Gliomas of the brain may appear as expansile ring-enhancing masses in MRI studies, mimicking the appearance of intra-axial abscesses. The aims of this study were to compare the MRI features of ring-enhancing gliomas and intra-axial brain abscesses in dogs and cats and to identify the characteristics that might help differentiate them. For this multicenter, retrospective, and observational study, the inclusion criteria were as follows: (a) a definitive diagnosis of glioma or abscess based on cytological or histopathological examination following CSF collection or surgical biopsy/necropsy, respectively; (b) MRI study performed with a high- or low-field MRI scanner, including a same plane T1W pre- and postcontrast, a T2W and a T2 FLAIR sequence in at least one plane. Read More

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Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses.

Open Forum Infect Dis 2022 May 8;9(5):ofac160. Epub 2022 Apr 8.

Department of Pediatrics, Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.

We present a novel case of recurrent brain abscesses found to be the result of a silent congenital right-to-left extracardiac shunt, a persistent left superior vena cava draining into the left atrium. The patient's brain abscess was evacuated surgically and treated with antibiotics, and his shunt was subsequently repaired. The case suggests that attention should be paid to evaluation for shunt physiology allowing for bypass of the pulmonary circulation in those with recurrent brain abscesses. Read More

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Transient myopia as rare condition after neurosurgery.

Neuro Endocrinol Lett 2021 Nov;42(7):484-488

Department of Ophthalmology, Faculty of Medicine, Comenius University and University Hospital, Bratislava, Slovakia.

Refractive changes may be caused by systemic diseases such as diabetes mellitus, lupus erythematosus, or hypothyroidism. However, refractive changes following the removal of a brain tumour have not been reported. In our case report, we describe a young woman without any systemic disease. Read More

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November 2021

Cefepime-induced encephalopathy in a COVID-19 patient: a case report.

J Anesth 2022 Apr 29. Epub 2022 Apr 29.

Department of Anesthesiology and Critical Care Medicine, Fujita Health University, Toyoake, Japan.

Prolonged neurological symptoms such as "brain fog" and cognitive impairment have occurred after coronavirus disease 2019 (COVID-19) infection. In this report, we describe impaired consciousness caused by cefepime hydrochloride (CFPM) in a patient with cognitive sequalae of COVID-19. A 56-year-old male patient was diagnosed with penile abscess after COVID-19 infection, and a blood culture detected two drug-resistant Pseudomonas aeruginosa strains. Read More

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Varied imaging and clinical presentations of acute bacterial cerebritis.

Emerg Radiol 2022 Apr 28. Epub 2022 Apr 28.

Department of Radiology, Fortis Memorial Research Institute, Gurugram, Haryana, 122001, India.

Infectious diseases affecting the central nervous system remain an important cause of morbidity and mortality in developing countries and in immunocompromised patients. Cerebritis refers to pyogenic inflammation of the brain parenchyma that may lead to abscess formation if left untreated. Cerebritis is an uncommon diagnosis as patients are usually diagnosed at the stage of abscess formation. Read More

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A case of multiple abscesses caused by rapidly diagnosed by MALDI-TOF MS.

IDCases 2022 9;28:e01497. Epub 2022 Apr 9.

Department of Clinical Laboratory, Kyorin University Hospital, Tokyo, Japan.

Identifying species in routine tests is often difficult owing to its culture time. We report a case of nocardiosis characterized by multiple abscesses of disseminated disease. A man in his 50 's presented with inflammation on the left buttock and right lower leg. Read More

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Brain abscess with pyogenic ventriculitis.

IDCases 2022 12;28:e01503. Epub 2022 Apr 12.

University of Vermont Medical Center and College of Medicine at the University of Vermont, Burlington, VT, USA.

The authors present the case of a 57-year-old male with a large polymicrobial brain abscess complicated by eruption into the intraventricular space. He was treated with parenteral ampicillin, cefepime, and metronidazole and adjuvant intraventricular vancomycin/gentamicin as well as surgical debridement. The authors discuss the diagnosis, treatment, and prognosis of brain abscesses, with a focus on prior cases with pyogenic ventriculitis and those treated with intraventricular antimicrobials. Read More

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Clinical Profile of Central Nervous System Involvement in Patients with Rhino Orbital Cerebral Mucormycosis.

J Assoc Physicians India 2022 Apr;70(4):11-12

Bangalore Medical College, Kalaburgi.

Mucormycosis is life threatening fungal infection that occurs in immunocompromised patients. Patients at risk are those with poorly controlled diabetes mellitus, immunosuppressed patients such as those undergoing treatment for hematological cancer or recipients of solid organ and hematopoietic stem cell transplantation. COVID 19 infection is known to produce a state of hyper inflammation with release of various cytokines this state of immune dysfunction is associated with development of opportunistic infections, of which Mucormycosis is on the rise currently. Read More

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Cerebral toxoplasmosis associated with the use of immunosuppressive treatments.

Rev Soc Bras Med Trop 2022 8;55:e07202021. Epub 2022 Apr 8.

Hospital Santo Espírito da Ilha Terceira, Internal Medicine Department, Angra do Heroísmo, Azores, Portugal.

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Compound elevated skull fractures: a retrospective descriptive study.

Br J Neurosurg 2022 Apr 13:1-6. Epub 2022 Apr 13.

Department of Neurosurgery, University of Kwa Zulu Natal, Durban, South Africa.

Background: Traumatic skull fractures have been traditionally classified into those that involve the base or vault with distinct entities linear or depressed. Compound elevated skull fracture is a newer entity with scanty reports in the literature.

Objective: To describe the clinical presentation, neuro-radiology findings by development of a classification system, medical and surgical management, and complications of patients with compound elevated skull fractures at a tertiary referral neurosurgical department. Read More

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A rare case of extraintestinal amebiasis.

BMC Infect Dis 2022 Apr 11;22(1):364. Epub 2022 Apr 11.

Department of Critical care Medicine, Affiliated Hospital of Zunyi Medical University, Dalian Road 149, Zunyi City, 563003, Guizhou, China.

Background: Amoebiasis is caused by the protozoan Entamoeba histolytica, which is a rare infectious disease in developed countries. If the trophozoites enter the blood, it can spread through the body, such as brain, and lungs. Cases of simultaneous infection of multiple organs are extremely rare. Read More

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Culture on Selective Media and Amplicon-Based Sequencing of 16S rRNA from Spontaneous Brain Abscess-the View from the Diagnostic Laboratory.

Microbiol Spectr 2022 Apr 11;10(2):e0240721. Epub 2022 Apr 11.

Department of Clinical Microbiology, Aarhus University Hospitalgrid.154185.c, Aarhus, Denmark.

Forty-one stored samples from cases of spontaneous brain abscess were investigated to gain insight into the natural history, causative agents, and relevant laboratory diagnostics of a rare infection. Samples from a larger collection were selected based on retrospective analysis of patient records. All samples were subjected to amplicon sequencing of 16S rRNA gene fragments. Read More

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Craniocerebral Gunshot Injuries in Chad: A Study of 44 Cases.

World Neurosurg 2022 Apr 7. Epub 2022 Apr 7.

Department of Neurosurgery, Hôpital 'La Renaissance de Ndjari', Ndjamena, Chad.

Background: Firearm head injuries cause great public health concern because of their severity. They are life-threatening due to intracranial lesions and sepsis risks. This prospective study evaluates the management of craniocerebral wounds in Chad. Read More

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Intraoperative Injection of Normal Saline Through Lumbar Drainage for Transnasal Endoscopic Repair of Complex CSF Leaks.

Front Surg 2022 21;9:861406. Epub 2022 Mar 21.

Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.

Objective: It is well known that accurate location of the leak in the operation is crucial for repairing cerebrospinal fluid leakage. The study aims to investigate the application of intraoperative injection of normal saline through lumbar drainage in repairing complex leaks.

Methods: The fistulas of all patients with CSF leak were located by computed tomography cisternography (CTC) or heavy T2 magnetic resonance imaging (MRI) before surgery. Read More

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Simultaneous frontal and orbital abscess rare complications of otogenic origin: Case report and literature review.

Ann Med Surg (Lond) 2022 Mar 7;75:103458. Epub 2022 Mar 7.

Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco.

Otogenic frontal abscess is an uncommon location of otogenic abscess of the brain and constitutes less than 5%. And the orbital extension is even more exceptional. An 11-year-old child, presenting with a two-week-long history of an acute otitis badly treated. Read More

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Pott Puffy Tumor Caused by Dental Infection: A Case Report and Literature Review.

J Craniofac Surg 2022 Mar-Apr 01;33(2):e127-e130

Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju, South Korea.

Abstract: Pott puffy tumor (PPT), first described by Sir Percivall Pott in 1760, is a rare clinical entity characterized by a subperiosteal abscess associated with osteomyelitis of the frontal bone caused by direct or hematogenous spread. Although rare in this modern age of antibiotics, this tumor usually occurs as a complication of sinusitis. Moreover, intracranial complications such as subdural abscess, meningitis, sinus thrombosis, or brain abscess can occur concomitantly with the underlying sinusitis, despite the administration of antibiotics. Read More

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Successful Management of Combined BK Nephropathy and Nocardiosis in a Renal Transplant Recipient: Case Report.

Exp Clin Transplant 2022 Mar;20(Suppl 1):140-144

From the Nephrology Department, Hamed Al-Essa Organ Transplant Center, Sabah Area, Kuwait.

Nocardiosis is a life-threatening infection in immunocompromised patients. The prevalence of the disease ranges from 2.3% to 5% in renal allograft recipients. Read More

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Ischemic stroke due to sporadic and genetic pulmonary arteriovenous malformations: Case report.

Brain Circ 2022 Jan-Mar;8(1):57-60. Epub 2022 Mar 21.

Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.

Pulmonary arteriovenous malformations (PAVMs) encompass congenital and genetic vascular anomalies characterized by complex interlacing of arteries and veins connected by fistulas, which allow rapid and continuous extracardiac right-to-left shunting (RLS). Presenting neurologic manifestations of PAVM include brain abscess and stroke, as the consequence of paradoxical embolism. Although rare, PAVM represents an overlooked cause of cryptogenic ischemic stroke in young adults, being misdiagnosed as patent foramen ovale and a preventable trigger of silent cerebral ischemic changes. Read More

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pneumonia requiring pneumonectomy in a post-renal transplant patient.

IDCases 2022 24;28:e01481. Epub 2022 Mar 24.

Department of Infectious Disease, Baylor Scott and White Medical Center Round Rock, United States.

is a rare fungus that can cause fatal infections in patients who are immunocompromised. This case describes a 55-year-old post-renal transplant patient undergoing active treatment for multiple myeloma who presented to the emergency room with complaints of cough and dyspnea. She was found to have a cavitary lesion in the left upper lobe of her lung, and direct sampling via bronchoscopy revealed an invasive fungal infection with an species. Read More

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