4,083 results match your criteria Brain Abscess Imaging


An Aberrant Line on CT Head: The Mendosal Suture.

J Neurosci Rural Pract 2020 Jul 16;11(3):502-503. Epub 2020 Jun 16.

Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

A knowledge of variant anatomy is important in clinical practice. The skull bones have several normal anatomical variations, especially in the occipital bone. Accessory sutures have been described in newborns and young children. Read More

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http://dx.doi.org/10.1055/s-0040-1713304DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7394649PMC

Survival case of rhinocerebral and pulmonary mucormycosis due to Cunninghamella bertholletiae during chemotherapy for acute myeloid leukemia: a case report.

Infection 2020 Jul 27. Epub 2020 Jul 27.

Disease Control and Prevention Center, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan.

A 42-year-old man diagnosed with acute myeloid leukemia complained of progressive swelling of the right side of his face with pain 11 days after the third cycle of consolidation therapy with high-dose arabinosylcytosine-cytarabine. Head and neck magnetic resonance imaging showed a mass lesion in his right maxillary sinus with parapharyngeal involvement, which included the right masseter muscle, intraorbital involvement, and an abscess in his brain. Chest computed tomography revealed peribronchial small nodules in his right upper lobe and a necrotic tumor in his right lower lobe. Read More

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http://dx.doi.org/10.1007/s15010-020-01491-8DOI Listing

Cerebral and pulmonary aspergillosis, treatment and diagnostic challenges of mixed breakthrough invasive fungal infections: case report study.

BMC Infect Dis 2020 Jul 23;20(1):535. Epub 2020 Jul 23.

Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Namazi Hospital, Zand Ave, Shiraz, 7193711351, Iran.

Background: Breakthrough invasive fungal infections (bIFIs) are an area of concern in the scarcity of new antifungals. The mixed form of bIFIs is a rare phenomenon but could be potentially a troublesome challenge when caused by azole-resistant strains or non-Aspergillus fumigatus. To raise awareness and emphasize diagnostic challenges, we present a case of mixed bIFIs in a child with acute lymphoblastic leukemia. Read More

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http://dx.doi.org/10.1186/s12879-020-05162-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376672PMC

Intracranial Subdural Abscess Caused by Related to Dental Treatment: A Case Report.

NMC Case Rep J 2020 Jul 24;7(3):135-139. Epub 2020 Jun 24.

Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan.

Intracranial subdural abscess is a rare condition. Although brain abscess is often reported in relation to dental infection, reports of intracranial subdural abscess are few. spp. Read More

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http://dx.doi.org/10.2176/nmccrj.cr.2019-0246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7363637PMC

Multiple brain abscesses with good prognosis in an infant with cyanotic congenital heart disease: a case report.

J Med Case Rep 2020 Jul 21;14(1):111. Epub 2020 Jul 21.

Department of Pediatrics, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Takatsuki, Osaka, 569-8686, Japan.

Background: Brain abscesses are relatively rare, but they are a potentially life-threatening condition. Predictive factors for poor outcome are a young age and the presence of multiple abscesses. We report a case of a 15-month-old girl with cyanotic congenital heart disease who developed multiple brain abscesses caused by Streptococcus intermedius. Read More

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http://dx.doi.org/10.1186/s13256-020-02436-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372864PMC

Endocarditis as the Cause of Recurrent Fever and Brain Abscess in a Patient with Complex Congenital Heart Disease: A Case Report and Literature Review.

Case Rep Infect Dis 2020 24;2020:7894574. Epub 2020 Jun 24.

Infectious Diseases Unit, First Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Introduction: Blood culture-negative infective endocarditis (BCNIE) can present subtly and is associated with a diagnostic delay leading to increased morbidity and mortality. . We present the case of an 18-year-old male with a history of complex congenital heart disease and 3-year intermittent episodes of fever of unknown origin, who was referred to our hospital for upper and lower extremity focal seizures. Read More

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http://dx.doi.org/10.1155/2020/7894574DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333052PMC

Brain Abscess Masquerading as Brain Infarction.

Brain Sci 2020 Jul 11;10(7). Epub 2020 Jul 11.

Department of Neurology, Yeungnam University Medical Center, 170 Hyeonchung-ro, Namku, Daegu 42415, Korea.

Occasionally, acute ischemic stroke can be difficult to differentiate from acute intracranial infection. We describe a patient who presented with sudden onset of right hemiparesis and fever. Magnetic resonance imaging (MRI) was consistent with an acute stroke, showing multiple lesions with restricted diffusion in the left middle cerebral artery territory. Read More

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http://dx.doi.org/10.3390/brainsci10070440DOI Listing

Neurosurgical intraoperative ultrasonography using contrast enhanced superb microvascular imaging -vessel density and appearance time of the contrast agent.

Br J Neurosurg 2020 Jul 10:1-10. Epub 2020 Jul 10.

Department of Orthopedics, Edogawa Hospital, Tokyo, Japan.

Ultrasonography (US) provides real-time information on structures within the skull during neurosurgical operations. Superb microvascular imaging (SMI) is the latest imaging technique for detecting very low-velocity flow with minimal motion artifacts, and we have reported on this technique for intraoperative US monitoring. We combined SMI with administration of contrast agent to obtain detailed information during neurosurgical operations. Read More

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http://dx.doi.org/10.1080/02688697.2020.1772958DOI Listing

Pulmonary Arteriovenous Malformations in Non-hereditary Hemorrhagic Telangiectasia Patients: An 18-Year Retrospective Study.

Lung 2020 Aug 9;198(4):679-686. Epub 2020 Jul 9.

Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Purpose: Pulmonary arteriovenous malformations (PAVMs) are most commonly associated with hereditary hemorrhagic telangiectasia (HHT). Patients with PAVMs can present with serious complications including stroke, transient ischemic attack (TIA), and brain abscess. PAVMs are rare in non-HHT patients and little is known about this patient population. Read More

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http://dx.doi.org/10.1007/s00408-020-00367-wDOI Listing

Isolated neuroparacoccidioidomycosis as a pseudotumoral lesion in the absence of systemic disease.

Surg Neurol Int 2020 13;11:151. Epub 2020 Jun 13.

Department of Surgery, Santa Casa de Sao Paulo School of Medical Sciences, Rua Dr. Cesário Motta Júnior, São Paulo, Brazil.

Background: Paracoccidioidomycosis (PCM) is a systemic, progressive, noncontagious, and often chronic disease caused by the fungus that rarely affects the central nervous system (CNS). The condition is usually treated using antifungal drugs, and some cases may require surgery.

Case Description: A 55-year-old man, a smoker, without known comorbidities, was referred to the neurosurgery team with a history of a single epileptic seizure a week before hospital admission followed by progressive right- sided hemiparesis. Read More

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http://dx.doi.org/10.25259/SNI_224_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332495PMC

Intracerebral abscess due to Cutibacterium acnes after lung transplantation.

Transpl Infect Dis 2020 Jul 1:e13398. Epub 2020 Jul 1.

Department of Respiratory Disease, University Hospital Gasthuisberg, UZ Leuven, Leuven, Belgium.

Cutibacterium (C) acnes, a Gram-positive bacterium that is part of the commensal flora, is increasingly noticed as an opportunistic pathogen in serious infections in both immunocompromised and immunocompetent patients. The indolent character and often difficult identification because of its slow growth contribute to delayed diagnosis or underdiagnosis. This report highlights a unique case of a lung transplant recipient with a C acnes intracerebral abscess, and we recommend including this organism in such differential diagnosis. Read More

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http://dx.doi.org/10.1111/tid.13398DOI Listing

Clinical Profile and Outcome of Brain Abscess in Children from a Tertiary Care Hospital in Eastern Uttar Pradesh.

Ann Indian Acad Neurol 2020 May-Jun;23(3):303-307. Epub 2020 Jun 10.

Department of Paediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Background And Aims: Brain abscess is a serious and dreadful disease presenting at tertiary centre. The objective of this study was to look into the clinical profile, predisposing conditions, microbiology and outcome of children suffering from brain abscess.

Methods: 30 children up to 18 years with clinical and imaging evidence of brain abscess were taken for study. Read More

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http://dx.doi.org/10.4103/aian.AIAN_425_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313559PMC

Successful treatment of disseminated granulomatous aspergillosis in an apparently immunocompetent host.

Trop Doct 2020 Jun 23:49475520934358. Epub 2020 Jun 23.

Consultant, Infectious Diseases, Division of Infectious Diseases, PD Hinduja Hospital and Medical Research Centre, Mumbai, India.

A young Indian man presented elsewhere with a short history of haematuria and cough. Investigations revealed renal and pulmonary lesions. Histopathology of these lesions was reported as mucormycosis. Read More

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http://dx.doi.org/10.1177/0049475520934358DOI Listing

Low threshold for intracranial imaging in fever of unknown origin associated with cyanotic heart disease in the pediatric population.

Childs Nerv Syst 2020 Jun 6. Epub 2020 Jun 6.

Department of Neurosurgery, Boston Children's Hospital, Harvard University, Boston, MA, USA.

Intracranial abscess in the pediatric population is an overall rare occurrence-4 in a million. The most common predisposing factor is underlying cyanotic congenital heart disease (CCHD), which is associated with ~ 30% of all cases. We present an unusual case of cerebral abscess in a 17-month-old female with partially treated Tetralogy of Fallot and fever of unknown origin without associated neurologic symptoms. Read More

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http://dx.doi.org/10.1007/s00381-020-04696-2DOI Listing

Corynebacterium striatum meningitis combined with suspected brain and lung abscesses: a case report and review.

BMC Infect Dis 2020 Jun 1;20(1):389. Epub 2020 Jun 1.

Department of Neurology, The General Hospital of Western Theater Command, No.270 Rongdu Avenue, Jinniu District, Chengdu, 610083, Sichuan Province, People's Republic of China.

Background: Intracranial infections with Corynebacterium striatum (C. striatum) have been described sporadically in the literature over the last two decades. However, C. Read More

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http://dx.doi.org/10.1186/s12879-020-05114-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268293PMC

Acute mastoiditis in children: contemporary opportunities and challenges.

J Laryngol Otol 2020 May 28;134(5):434-439. Epub 2020 May 28.

Department of Otolaryngology, Great North Children's Hospital, Newcastle upon Tyne, UK.

Background: Mastoiditis is the most common intra-temporal complication of acute otitis media. Despite potentially lethal sequelae, optimal management remains poorly defined.

Method: A retrospective case review was conducted of children diagnosed with mastoiditis at a tertiary referral centre, in North East England, between 2010 and 2017. Read More

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http://dx.doi.org/10.1017/S0022215120000833DOI Listing

A rare case of brain abscess caused by Actinomyces meyeri.

BMC Infect Dis 2020 May 27;20(1):378. Epub 2020 May 27.

Division of Infectious Disease, East Carolina University Brody School of Medicine, Greenville, NC, USA.

Background: Brain abscesses are the rare and most severe form of actinomycosis, which usually manifests as abscesses of the occipital or parietal lobe due to direct expansion from an adjacent area, the oral cavity. In the medical literature, there are only a few reported cases of brain abscess caused by Actinomyces meyeri. In this report, we present a 35-year-old male patient who experienced an insidious headache and left-sided weakness and was diagnosed with an Actinomyces meyeri brain abscess. Read More

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http://dx.doi.org/10.1186/s12879-020-05100-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251899PMC
May 2020
2.613 Impact Factor

Precision diagnosis and therapy of a case of brain abscesses associated with asymptomatic pulmonary arteriovenous fistulas.

BMC Infect Dis 2020 May 24;20(1):370. Epub 2020 May 24.

Department of Neurology, Qilu Hospital of Shandong University, Jinan, 250012, Shandong Province, China.

Background: Brain abscesses, a severe infectious disease of the CNS, are usually caused by a variety of different pathogens, which include Streptococcus intermedius (S. intermedius). Pulmonary arteriovenous fistulas (PAVFs), characterized by abnormal direct communication between pulmonary artery and vein, are a rare underlying cause of brain abscesses. Read More

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http://dx.doi.org/10.1186/s12879-020-05092-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247166PMC

Worm-like appearance of Listeria monocytogenes brain abscess: presentation of three cases.

Neuroradiology 2020 May 14. Epub 2020 May 14.

Department of Radiology, Faculty of Medicine in Hradec Kralove, Charles University in Prague, 50005, Hradec Kralove, Czech Republic.

Brain abscess caused by Listeria monocytogenes (LM) is a rare, yet serious condition with high mortality if not recognized and treated timely. We present a series of three cases of LM brain abscesses and describe their characteristic radiological appearances which can be considered very typical. LM abscesses frequently present as markedly irregular formations, revealing characteristic worm-like tubular pattern of chaotic curvilinear arrangement. Read More

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http://dx.doi.org/10.1007/s00234-020-02441-9DOI Listing

A clinical case report of brain abscess caused by Nocardia brasiliensis in a non-immunocompromised patient and a relevant literature review.

BMC Infect Dis 2020 May 7;20(1):328. Epub 2020 May 7.

Department of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, China.

Background: Brain abscess due to the Nocardia genus is rare and usually found in immunocompromised patients. The most common subtype implicated is Nocardia farcinica while brain abscess due to Nocardia brasiliensis is comparatively rare. Diagnosis of brain abscess is based mainly on bacteriological culture from pus collected at the site of infection, and brain imaging. Read More

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http://dx.doi.org/10.1186/s12879-020-05052-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206790PMC

Do brain abscesses have a higher incidence of odontogenic origin than previously thought?

Oral Surg Oral Med Oral Pathol Oral Radiol 2020 Jul 1;130(1):10-17. Epub 2020 May 1.

Department of Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, USA.

Objective: The aim of this study was to answer the following clinical question: "In patients admitted to a tertiary care hospital with a diagnosis of brain abscess, how common is odontogenic etiology?"

Study Design: We designed a retrospective study of patients with brain abscesses diagnosed at the Massachusetts General Hospital between 1980 and 2017. Inclusion criteria were complete medical records outlining clinical course, relevant dental history, and radiographic and microbiologic data.

Results: Of 167 intracranial abscesses, 88 (52. Read More

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http://dx.doi.org/10.1016/j.oooo.2020.01.008DOI Listing

Brain abscess in patients with chronic kidney disease: A case-based approach to management in resource-limited settings.

Drug Discov Ther 2020 May 21;14(2):93-97. Epub 2020 Apr 21.

Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.

The management of patients with brain abscess poses a significant challenge to clinicians in patients with chronic kidney disease. Obtaining a biopsy sample from the affected area is the mainstay in the diagnosis, but it is often unavailable. In most cases, therapy is guided by clinical findings and imaging alone. Read More

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http://dx.doi.org/10.5582/ddt.2019.01062DOI Listing

A CARE-compliant article: a case report of pleural empyema secondary to Klebsiella pneumoniae liver abscess with a hepatopleural fistula.

Medicine (Baltimore) 2020 Apr;99(16):e19869

Department of Internal Medicine, Inha University Hospital, Inha University College of Medicine, Jung-gu, Incheon, South Korea.

Introduction: Klebsiella pneumoniae liver abscess (KPLA) is often associated with accompanying metastatic complications such as septic pulmonary embolism, brain abscess, and endophthalmitis. Pleural empyema secondary to a KPLA is a very unusual finding, made even more rare with the presence of a hepatopleural fistula.

Patient Concerns: An 81-year-old woman presented with aggravated dyspnea. Read More

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http://dx.doi.org/10.1097/MD.0000000000019869DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220185PMC

Case 11-2020: A 37-Year-Old Man with Facial Droop, Dysarthria, and Kidney Failure.

N Engl J Med 2020 Apr;382(15):1457-1466

From the Department of Medicine, Hospital of the University of Pennsylvania, and the Perelman School of Medicine, University of Pennsylvania - both in Philadelphia (J.S.B.); and the Departments of Radiology (O.R.), Medicine (A.Z.F., J.B.E.K.), and Pathology (V.E.K., M.N.A.), Massachusetts General Hospital, and the Departments of Radiology (O.R.), Medicine (A.Z.F., J.B.E.K.), and Pathology (V.E.K., M.N.A.), Harvard Medical School - both in Boston.

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http://dx.doi.org/10.1056/NEJMcpc1916252DOI Listing

Brain Abscess Associated with Polymicrobial Infection after Intraoral Laceration: A Pediatric Case Report.

Case Rep Pediatr 2020 9;2020:8304302. Epub 2020 Mar 9.

Department of Pediatrics, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.

Brain abscesses, infections within the brain parenchyma, can arise as complications of various conditions including infections, trauma, and surgery. However, brain abscesses due to polymicrobial organisms have rarely been reported in children. We herein report a case of a 9-year-old girl with unresolved congenital cyanotic heart disease (CCHD) presenting with right hemiplegia who was diagnosed with brain abscess caused by , , and after oropharyngeal injury. Read More

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http://dx.doi.org/10.1155/2020/8304302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085370PMC

A rare case of brain abscess in an immunocompetent host.

Med Mycol Case Rep 2020 Jun 10;28:8-11. Epub 2020 Mar 10.

Division of Infectious Diseases, University of Maryland School of Medicine, Baltimore, MD, USA.

Here we present a case of a 41-year old immunocompetent female from central Maryland, who presented with new onset seizures. Magnetic resonance imaging of brain revealed a solitary ring-enhancing lesion. Stereotactic brain biopsy confirmed brain abscess. Read More

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http://dx.doi.org/10.1016/j.mmcr.2020.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090280PMC

Acute ischaemic stroke in meningoencephalitis.

BJR Case Rep 2020 Mar 12;6(1):20190068. Epub 2020 Feb 12.

East Kest Hospitals University NHS Trust, Margate, United Kingdom.

is the third most frequent cause of bacterial meningitis and has a predilection for elderly patients and the immunosuppressed. A small number of patients with meningoencephalitis have previously been reported to experience stroke-like symptoms that were attributed to microabscess formation and the mass effect of collections of infection in the brain. These infections led to temporary neurological deficits that resolved with antimicrobial treatment, rather than to true strokes with permanent neurological deficits. Read More

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http://dx.doi.org/10.1259/bjrcr.20190068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068084PMC

Mucormycosis creeping along the nerves in an immunocompetent individual.

J Radiol Case Rep 2019 Oct 31;13(10):1-10. Epub 2019 Oct 31.

Department of Radiodiagnosis, B J Govt. Medical College & Sassoon General Hospitals, Pune, India.

Mucormycosis is a rare opportunistic fungal infection, often life-threatening. We report an unusual case of rhinocerebral mucormycosis in an immunocompetent patient. A 23-year-old male presented with headache, speech disturbance and hearing difficulty for 4 weeks. Read More

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http://dx.doi.org/10.3941/jrcr.v13i10.3671DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060009PMC
October 2019

Microbial aetiology of brain abscess in a UK cohort: Prominent role of Streptococcus intermedius.

J Infect 2020 Jun 13;80(6):623-629. Epub 2020 Mar 13.

Department of Infectious Diseases and Microbiology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK; Nuffield Department of Medicine, University of Oxford, Medawar Building for Pathogen Research, South Parks Road, Oxford OX1 3SY, UK; NIHR Oxford British Research Council (BRC), John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK. Electronic address:

Background: Brain abscess is an uncommon condition, but carries high mortality. Current treatment guidelines are based on limited data. Surveillance of clinical, radiological and microbiology data is important to inform patient stratification, interventions, and antimicrobial stewardship. Read More

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http://dx.doi.org/10.1016/j.jinf.2020.03.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267774PMC

Primary hydatid disease of the transverse abdominal muscle A case report.

Ann Ital Chir 2020 Mar 9;9. Epub 2020 Mar 9.

Introduction: Echinococcus is a parasitic disease that affects all organs and tissues. The most commonly affected are liver (70-80%) and lungs (10-25%), while very rarely, in about 5% of cases, it can be found in the spleen, kidneys, brain, heart, pancreas, muscles and skeleton.

Case Report: Although localization of hydatid cyst in muscle is rare, it is important to consideredPORT it in the differential diagnosis of a cystic mass in the muscle. Read More

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Medullary abscess: a rare clinical presentation.

BMJ Case Rep 2020 Mar 10;13(3). Epub 2020 Mar 10.

Neurosurgery, Royal Sussex County Hospital, Brighton, UK.

Brain abscesses represent areas of localised infection of the brain parenchyma. Those confined to the brainstem are rare and usually fatal if untreated. is a common causative organism of brain abscesses and is associated with significant morbidity. Read More

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http://dx.doi.org/10.1136/bcr-2019-233286DOI Listing

Miliary cerebrospinal lesions caused by Nocardia beijingensis in an immunocompetent patient.

IDCases 2020 29;20:e00737. Epub 2020 Feb 29.

Department of General Internal Medicine, Asahi General Hospital, 1326 I, Asahi, Chiba, Japan.

The genus usually infect immunocompromised patients. Pulmonary nocardiosis is the most common -induced infection while central nervous system (CNS) is the most common extrapulmonary site to develop nocardial disease. Approximately 54 % cases of previously reported nocardial brain abscesses were solitary lesions, while 38 % cases had multiple lesions; but miliary-like ring enhancing lesions have not been reported previously. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00737DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057221PMC
February 2020

Non-HIV talaromycosis: Radiological and clinical analysis.

Medicine (Baltimore) 2020 Mar;99(10):e19185

Department of Radiology, Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

To investigate the characteristics of spiral computed tomography (CT), positron emission tomography-computed tomography (PET/CT) and clinical manifestations of talaromycosis to improve the diagnostic level and deepen its recognition in radiology.Radiological, clinical, and pathological manifestations of 15 patients of non-HIV talaromycosis confirmed by bronchofiberscope lung biopsy and/or abscess puncture fluid culture and/or blood culture and/or sputum culture were analyzed retrospectively. All patients underwent chest CT, among them, six had a brain MRI, and six had a PET/CT scan before treatment. Read More

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http://dx.doi.org/10.1097/MD.0000000000019185DOI Listing

Brain abscess in a patient with psoriatic arthritis treated with adalimumab: A case report.

Medicine (Baltimore) 2020 Mar;99(10):e18954

Department of Dermatology, China Medical University Hospital.

Rationale: In patients receiving biological therapies, serious infections are a major concern. Infections associated with anti-tumor necrosis factor antibody therapy include tuberculosis, viral, fungal, and bacterial infections. Likewise, severe infections of the upper and lower respiratory tract, lung, skin and soft tissue, urinary tract, gastrointestinal tract, joint, and bone have also been reported previously. Read More

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http://dx.doi.org/10.1097/MD.0000000000018954DOI Listing

Eyeball deviation by orbital mucocele after midface sinus injury.

Arch Craniofac Surg 2020 Feb 20;21(1):53-57. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.

A mucocele is an epithelium-lined, mucus-filled cavity in the paranasal sinuses. Mucocele may develop due to scarring and obstruction of the sinus ostium caused by midface sinus trauma, such as orbital bone fracture or endoscopic sinus surgery. The authors report two cases of orbital mucocele as complications following midface sinus injury (endoscopic sinus surgery in one case, and orbital fracture repair in the other). Read More

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http://dx.doi.org/10.7181/acfs.2019.00605DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054188PMC
February 2020

Organic Lesions in the Brain MRI of Children with Febrile Seizure.

Curr Med Imaging 2020 Feb 25. Epub 2020 Feb 25.

Department of Medicine, Lorestan University of Medical Sciences, Khorramabad. Iran.

Objective: Seizure is the most common neurological disorders in children, where, 4-10% cases experience at least one seizure before the age of 16. The most frequent causes of seizures in children are fever, epilepsy, infection and brain damage. The aim of this study was to investigate the frequency of organic lesions in MRI of children with seizure unrelated to fever. Read More

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http://dx.doi.org/10.2174/1573405616666200226103615DOI Listing
February 2020

CT-guided drainage of a brainstem abscess in a cat as an emergency treatment procedure.

JFMS Open Rep 2020 Jan-Jun;6(1):2055116919896111. Epub 2020 Feb 10.

Small Animal Teaching Hospital, Institute of Veterinary Sciences, University of Liverpool, Neston, UK.

Case Summary: A 3-year-old male neutered domestic shorthair cat was presented with a 1-week progressive and rapidly deteriorating history of lethargy and abnormal behaviour. Neurolocalisation indicated multifocal intracranial lesions (right oculomotor nerve, brainstem [obtundation, non-ambulatory tetraparesis, vestibular dysfunction and intermittent decerebrate rigidity] and possibly the thalamus [left-sided pleurothotonus]), or more likely a single brainstem lesion with mass effect. MRI of the brain demonstrated a brainstem abscess causing severe dorsal displacement particularly affecting the pons and the medulla oblongata causing cerebellar vermis herniation through the foramen magnum. Read More

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http://dx.doi.org/10.1177/2055116919896111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011327PMC
February 2020

Isolated central nervous system Aspergillosis infection in a chronic lymphocytic leukemia patient on Ibrutinib: A case report.

BMC Infect Dis 2020 Feb 24;20(1):175. Epub 2020 Feb 24.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Port Jefferson, USA.

Background: In patients at high risk of opportunistic infections who present with isolated. neurological symptoms, it is lifesaving to consider Central Nervous System Aspergillosis (CNS-A). Ibrutinib use in chronic lymphocytic leukemia (CLL) has previously been associated with CNS-A. Read More

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http://dx.doi.org/10.1186/s12879-020-4894-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041109PMC
February 2020

[Invasive fungal brain abscess: a case report].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Jan;34(1):85-87

Mucormycsois, also known as zygomycosis, is an extremely serious acute invasive fungal infection(IFI). The disease progresses rapidly and the mortality rate is high. Even if cured, it may leave behind serious sequelae. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2020.01.021DOI Listing
January 2020

Secondary Pituitary Abscess Inside Adenoma: A Case Report and Review of Literature.

World Neurosurg 2020 05 17;137:281-285. Epub 2020 Feb 17.

Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China. Electronic address:

Background: Pituitary abscesses within pre-existing pituitary conditions, such as craniopharyngioma, pituitary adenoma, or Rathke cleft cyst, are quite rare. A case of pituitary abscess secondary to adenoma is presented, and the literature is reviewed.

Case Description: An 11-year-old boy presented with a 3-day history of sudden-onset headache and visual loss. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.02.057DOI Listing

Too Much on Your "Plate"? Spectrum of Pathologies Involving the Tectal Plate.

Can Assoc Radiol J 2020 May 27;71(2):186-194. Epub 2020 Jan 27.

Department of Radiology, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada.

The tectal plate comprises the posterior portion of the midbrain, borders the quadrigeminal cistern, and includes the superior and inferior colliculi. Benign and malignant pathologies occurring in this location may lead to aqueductal stenosis, obstructive hydrocephalus, and Parinaud syndrome. Both computed tomography and magnetic resonance imaging can be used to further characterize lesions involving the tectal plate. Read More

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http://dx.doi.org/10.1177/0846537119888410DOI Listing

Development of Primary Diffuse Large B-Cell Lymphoma Around an Internal Fixation Implant After Lumbar Fusion Surgery: A Case Report and Review of the Literature.

World Neurosurg 2020 05 5;137:140-145. Epub 2020 Feb 5.

Department of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.

Background: Diffuse large B-cell lymphoma (DLBCL) is the most commonly diagnosed primary non-Hodgkin lymphoma of the spine and can induce spinal compression. Reports of lymphoma arising in bone adjacent to metallic prostheses are increasing. However, to our knowledge, DLBCL arising from a scar after lumbar fusion surgery has not been reported previously. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.227DOI Listing

Neurological complications during treatment of liver abscess: think of metronidazole toxicity.

Trop Doct 2020 Apr 4;50(2):165-166. Epub 2020 Feb 4.

Professor, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Related neurological adverse effects to metronidazole are rarely encountered in clinical practice despite its wide use as an antibacterial or antiparasitic agent. The neurotoxicity is not dose-dependent and is fully reversible with discontinuation of the drug. We describe a young man who was receiving metronidazole for an amoebic liver abscess and developed encephalopathy and seizures. Read More

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http://dx.doi.org/10.1177/0049475520903651DOI Listing

Surgical management of a brain abscess due to plant foreign body in a dog.

Open Vet J 2019 10 3;9(3):216-221. Epub 2019 Aug 3.

Veterinary Teaching Hospital, Alfonso X el Sabio University, Madrid, Spain.

Background: Intracranial abscesses as a result of grass awn migration have been rarely described in the veterinary literature. The identification of their radiological features is mandatory for proper diagnosis. As occurs with abscesses in other organs, surgical drainage and directed antibiotic therapy should be considered the treatment of choice. Read More

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http://dx.doi.org/10.4314/ovj.v9i3.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794393PMC
October 2019

Fulminant and Diffuse Cerebral Toxoplasmosis as the First Manifestation of HIV Infection: A Case Presentation and Review of the Literature.

Am J Case Rep 2020 Jan 26;21:e919624. Epub 2020 Jan 26.

Department of Neurosurgery, National Skull Base Foundation, Thousand Oaks, CA, USA.

BACKGROUND One of the most common causes of central nervous system (CNS) opportunistic infections in immunocompromised patients is toxoplasmosis. It can cause focal or disseminated brain lesions leading to neurological deficit, coma, and death. Prompt management with optimal antibiotics is vital. Read More

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http://dx.doi.org/10.12659/AJCR.919624DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998800PMC
January 2020

[Neurological symptoms in a patient on anti-TNF therapy, methotrexate and prednisolone for rheumatoid arthritis].

Internist (Berl) 2020 Mar;61(3):313-320

Medizinische Klinik und Poliklinik III, Bereich Rheumatologie, Universitätsklinikum Leipzig, Liebigstraße 20, Haus 4, 04103, Leipzig, Deutschland.

A 78-year-old woman with rheumatoid arthritis on TNF-α inhibitor, methotrexate and prednisolone presented with severe but unspecific symptoms such as leg weakness, shivering, bifrontal headache, nausea and staggering. The broad range of differential diagnoses lead to intricate and time-consuming diagnostic procedures. Serology, magnetic resonance imaging and microbiological investigations represent important steps to make the final diagnosis of cerebral toxoplasmosis. Read More

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http://dx.doi.org/10.1007/s00108-019-00727-6DOI Listing

Metronidazole induced encephalopathy: A rare side effect with a common drug.

Indian J Radiol Imaging 2019 Oct-Dec;29(4):431-434. Epub 2019 Dec 31.

Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.

In hospitals, seizures and encephalopathy are one of the common complications observed in critically ill patients. Drug intoxication, metabolic derangements, and anatomical abnormalities can cause altered mental status. We encountered an uncommon case with a diagnostic dilemma due to persistent encephalopathy, where metronidazole toxicity was an etiological factor. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_330_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958887PMC
December 2019

Fulminant toxoplasmosis presenting as isolated myelitis.

Arq Neuropsiquiatr 2019 12;77(12):901-902

Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brasil.

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http://dx.doi.org/10.1590/0004-282X20190171DOI Listing
December 2019