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Multiple brain abscesses following surgical treatment of a perianal abscess.

Abstract：

:We report a case of multiple brain abscesses (BAs) in a 67-year-old man with symptoms of progredient disorientation and amnestic aphasia. Onset of symptoms occurred one week after surgical treatment of a perianal abscess. No other source of infection was identified and the abscesses were limited to the brain. The immune status was normal but a patent foramen ovale (pFO) was found. The patient was treated with high-dose antibiotics, leading to a complete radiological disappearance of the BAs. Hematogenous spread of infectious emboli from a perianal focus exclusively to the brain is very rare. In our patient, the mechanisms of infectious spread into the brain might have occurred via a cardiac right-to-left shunt or alternatively via the non-valvular vertebral venous system. In this manuscript, both pathways are critically reviewed.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Doepp F,Schreiber SJ,Wandinger KP,Trendelenburg G,Valdueza JM

doi

10.1016/j.clineuro.2004.11.024

keywords:

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

187-90

issue

2

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(04)00201-X

journal_volume

108

pub_type

杂志文章,评审

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