Abstract
An intratumoral or peritumoral microbial intracranial abscess is an infrequent diagnosis. The development of this complication may not be preceded by apparent local or general infection in all cases. To identify this diagnosis by radiological (MRI) or laboratory investigations is very intricate. Nevertheless, the recommended life-saving strategy is early surgery with resolution of both the tumor and infection. If subsequent oncological treatment is required, it has to be adjusted for prevention of re-inflammation. The described patient suffered from an intracranial abscess superimposed on a Glioblastoma Multiforme. The confirmed etiological agent was Staphylococcus aureus. The suspected route of microbial migration and colonization in this tumor was bacteremia via agents from thrombophlebitis. The patient is in a good condition following surgery, antimicrobial treatment, and radiotherapy.
Similar content being viewed by others
References
Bansal S, Vasishta RK, Pahak A, Jindal VN, Hhosla VK, Banerjee AK (2001) Cerebral abscess with astrocytoma. Neurol India 49:91–93
Ganiere V, Christen G, Bally F, Guillou L, Pica A, de Ribaupierre S, Szupp R (2006) Listeria brain abscess, Pneumocystis pneumonia and Kaposi’s sarcoma after temozolomide. Nat Clin Pract Oncol l3:339–343
Hatiboglu MA, Iplikcioglu AC, Ozcan D (2006) Abscess formation within invasive pituitary adenoma. J Clin Neurosci 13:774–777
Ichikawa M, Shimizu Y, Sato M, Imataka K, Masadu A, Hara Y, Kitano H, Suzuki F (1992) Abscess within a Glioblastoma Multiforme. Neurol Med Chir (Tokyo) 32:829–833
Jadhav RN, Dahiwadkar HV, Palande DA (1998) Abscess formation in invasive pituitary adenoma: case report. Neurosurgery 43:616–619
Jaiswal AK. Mahaptra AK, Sharma M (2004) Pituitary abscess associated with prolactinoma. J Clin Neurosci 11:533–534
Kroppenstedt SN, Liebig T, Mueller W, Gräf KJ, Lanksch WR, Unterberg AW (2001) Secondary abscess formation in pituitary adenoma after tooth extraction. J Neurosurg 94:335–338
Lind CRP, Muthiah K, Bok APL (2005) Peritumoral Citrobacter koseri abscess associated with parasagital meniongioma. Neurosurgery 57:814–817
Nassar SI, Haddad FS, Hanbali FS, Kanaan NV (1997) Abscess superimposed on brain tumor: two cases reports and review of the literature. Surg Neurol 47:484–488
Nelson PB, Haverkos H, Martinez AJ, Robinson AG (1983) Abscess formation within pituitary tumors. Neurosurgery 12:331–333
Noguerado A, Cabanyes J, Vivancos J, Navarro E, Lopez F, Isasia T, Martinez MC, Romero J, Lopez-Brea M (1987) Abscess caused by Salmonella enteridis within a Glioblastoma Multiforme: case report. J Infect 15:61–63
Obrador S, Blazquez MG (1972) Pituitary abscess in a craniopharyngioma: case report. J Neurosurg 36:785–789
Shankar A, Chatko G, Chatko AG (2004) Intratumoral abscess: an unusual complication of ventriculoperitoneal shunt infection. Childs Nerv Syst 20:204–206
Shanley DJ, Holmes SM (1994) Salmonella typhi abscess in a craniopharyngioma: CT and MRI. Neuroradiology 36:35–36
Sharma S, Raja A, Shivananda PG (1986) Isolation of Salmonella typhi from brain tumor: case report. Indian J Med Sci 40:233–235
Shimomura T, Hori S, Kasai N, Tsuruta K, Okada H (1994) Meningioma associated with intratumoral abscess formation: case report. Neurol Med Chir (Tokyo) 34:440–443
de Villiers Hammann H (1956) Abscess formation in the pituitary fossa associated with a pituitary adenoma. J Neurosurg 13:208–210
Whalley N (1952) Abscess formation in a pituitary adenoma. J Neurol Neurosurg Psychiatry 15:66–67
Yeates KE, Halliday W, Miyasakib J, Vellend H, Straus S (2003) A case of circling seizures and an intratumor abscess. Clin Neurol Neurosurg 105:128–131
Young JP, Young PH (2005) Meningioma associated with abscess formation—case report. Surg Neurol 63:584–585
Zhang X, Li Q, Hu P, Cheng H, Huang G (2002) Two case reports of pituitary adenoma associated infection Toxoplasma gondii with. J Clin Pathol 55:965–966
Zorub DS, Martinez AJ, Nelson PB, Lam MT (1979) Invasive pituitary adenoma with abscess formation: case report. Neurosurgery 5:718–722
Chang SC, Lai PH, Chen WL, Weng HH, Ho JT, Wang JS, Chang CY, Pan HB, Yang CF (2002) Diffusion-weight MRI features of brain abscess and cystic or necrotic brain tumors. Comparison with conventional MRI. Clin Imaging 26:227–236
Erdogan C, Hakyemez B, Yildirim N, Parlak M (2005) Brain abscess and cystic brain tumor discrimination with dynamic susceptibility contrast perfusion-weight MRI. J Comput Assist Tomogr 29:663–667
Mishra AM, Gupta RK, Jaggi RS, Reddy JS, Jha DK, Husain N, Prasad KN, Behari S, Husain M (2004) Role of diffusion-weight imaging and in vivo proton magnetic resonance spectroscopy in the differential diagnosis of ring-enhancing intracranial cyst mass lesion. J Comput Assist Tomgr 28:540–547
Stupp R, Mason WP, van den Bent MJ, Weller M, Fisher B, Taphoorn MJ, Belanger K, Brandes AA, Marosi C, Bogdahn U, Curschmann J, Janzer RC, Ludwin SK, Gorlia T, Allgeier A, Lacombe D, Cairncross JG, Eisenhauer E, Mirimanoff RO European Organisation for Research and Treatment of Cancer Brain Tumor and Radiotherapy Groups, National Cancer Institute of Canada Clinical Trials Group (2005) Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 10:987–996
Ohgaki H, Watanabe K, Peraud A, Biernat W, von Deimling A, Yasargil MG, Yonekawa Y, Kleihues P (1999) A case history of glioma progression. Acta Neuropathol (Berl) 97:525–532
Korshunov A, Sycheva R, Golanov A (2004). Molecular stratification of diagnostically challenging high-grade gliomas composed of small cells: the utility of fluorescence in situ hybridization. Clin Cancer Res 10:7820–7826
Brat DJ, Seiferheld WF, Perry A, Hammond EH, Murray KJ, Schulsinger AR, Mehta MP, Curran WJ (2004) Analysis of 1p, 19q, 9p, and 10q as prognostic markers for high-grade astrocytomas using fluorescence in situ hybridization on tissue microarrays from Radiation Therapy Oncology Group trials. Neuro Oncol 6:96–103
Korshunov A, Sycheva R, Gorelyshev S, Golanov A (2005) Clinical utility of fluorescence in situ hybridization (FISH) in nonbrainstem glioblastomas of childhood. Mod Pathol 18:1258–1263
Gonzales M, Dale S, Susman M, Mills J (2006) Quantitation of chromosome 1p and 19q deletions in glial tumours by interphase FISH on formalin-fixed paraffin-embedded tissue. J Clin Neurosci 13:96–101
Vogelsang JP, Wehe A, Markakis E (1998) Postoperative intracranial abscess—clinical aspects in the differential diagnosis to early recurrence of malignant glioma. Clin Neurol Neurosurg 100:11–14
Terasaki M, Ogo E, Fukushima S, Sakata K, Miyagi N, Abe T, Shigemori M (2007) Impact of combination therapy with repeat surgery and temozolomide for recurrent or progressive Glioblastoma Multiforme: a prospective trial. Surg Neurol 68:250–254
Acknowledgements
This study was supported by grant projects of Ministry of School and Education of the Czech Republic (MSM6198959216 and LC07017).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kalita, O., Kala, M., Svebisova, H. et al. Glioblastoma multiforme with an abscess: case report and literature review. J Neurooncol 88, 221–225 (2008). https://doi.org/10.1007/s11060-008-9557-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11060-008-9557-x