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Pyogenic brain abscess following haematogenous seeding of a thalamic haemorrhage

Abstract

We report the rare occurrence of a pyogenic brain abscess at the site of a preceding intracerebral haemorrhage in a 58-year-old man. The diagnosis was based on clinical observations, isolation of Staphylococcus aureus from blood cultures, and characteristic cerebrospinal fluid and cerebral computed tomography findings. The patient had a favourable response to antibiotic therapy.

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Fig. 1A–D.

References

  1. 1.

    Bert F, Maubec E, Garddye C, Branger C, Lambert-Zechovsky N (1995) Staphylococcal brain abscess following hematogenous seeding of an intracranial hematoma. Eur J Microbiol Infect Dis 14: 366–367

    CAS  Google Scholar 

  2. 2.

    Biller J, Adams Jr P, Godersky JC, Johnson R (1985) Preeclampsia complicated by cerebral hemorrhage and brain abscess. J Neurol 232: 378–380

    CAS  PubMed  Google Scholar 

  3. 3.

    Chen ST, Tang LM, Ro LS (1995) Brain abscess as a complication of stroke. Stroke 26: 696–698

    CAS  PubMed  Google Scholar 

  4. 4.

    Inamasu J, Hiroshi H, Nakamura Y, Saito R, Niimi M, Ichikizaki K (2002) Brain abscess developing at the site of preceding intracerebral hemorrhage. J Neurol 249: 221–223

    PubMed  Google Scholar 

  5. 5.

    Kurihara H, Mitsui T, Kohno N (1989) Brain abscess following intracerebral hematoma (in Japanese with English abstract). No Shinkei Geka 17: 1037–1040

    CAS  PubMed  Google Scholar 

  6. 6.

    Lee KS, Bae WK, Bae HG, Doh JW, Yun IG (1994) Brain abscess from a ganglionic hemorrhage: a case report. J Korean Med Sci 9: 259–263

    CAS  PubMed  Google Scholar 

  7. 7.

    Loring KE, Anderson DC, Kozak AJ (2000). Meningitis, encephalitis and brain abscess. In: Tintinalli JE, Kelen GD, Stapczynski JS (eds) Emergency medicine, 5th edn. McGraw-Hill, New York, pp 1485–1491

  8. 8.

    Lutz TW, Landolt M, Wasner M, Gratzl O (1994) Diagnosis and management of abscesses in the basal ganglia and thalamus. Acta Neurochir 127: 91–98

    CAS  Google Scholar 

  9. 9.

    Mashimoto H, Maesaki S, Akari J, Asai S, Sawatari K, Kaku M, Koga H (1994) A case of brain abscess associated with enterococcal endocarditis (in Japanese with English abstract). Kansenshogaku Zasshi 68: 254–258

    CAS  PubMed  Google Scholar 

  10. 10.

    Okami N, Kawamata T, Sasahara A, Yamasato M, Kawamura H (2000) Brain abscess following thalamic hemorrhage: a case report (in Japanese with English abstract). No Shinkei Geka 28: 275–279

    CAS  PubMed  Google Scholar 

  11. 11.

    Sumioka S, Kajikawa H, Yamamura K, Furuse M, Kajikawa M, Pant B (1996) Putaminal abscess occurring at the site of hemorrhage: a case report (in Japanese with English abstract). No Shinkei Geka 24: 859–863

    PubMed  Google Scholar 

  12. 12.

    Yan SY (1981) Brain abscess: a review of 400 cases. J Neurosurg 55:794–799

    CAS  PubMed  Google Scholar 

  13. 13.

    Zimmermann RD, Weingarten K (1991) Neuroimaging of cerebral abscesses. Neuroimaging Clin North Am 1: 1–16

    Google Scholar 

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Correspondence to Helge Topka.

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Nowak, D.A., Rodiek, SO. & Topka, H. Pyogenic brain abscess following haematogenous seeding of a thalamic haemorrhage. Neuroradiology 45, 157–159 (2003). https://doi.org/10.1007/s00234-002-0908-6

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Keywords

  • Brain abscess
  • Intracerebral haemorrhage
  • Computed tomography