Abstract
BackgroundIntracranial abscesses are rare and life-threatening conditions that typically originate from direct extension from nearby structures, hematogenous dissemination or following penetrating cerebral trauma or neurosurgery.FindingsA 36-year-old male presented to our emergency department with complaints of left eye swelling, headache and drowsiness. On physical exam, the patient was febrile and his left upper eyelid was markedly swollen with fluctuance and drainage. Maxillofacial computed tomography was obtained to evaluate for orbital pathology but revealed bifrontal brain abscesses.ConclusionsBrain abscesses should be considered in the differential diagnosis for patients who present with the classic triad of headache, fever and neurological deficit.
Highlights
Intracranial abscesses are rare and life-threatening conditions that typically originate from direct extension from nearby structures, hematogenous dissemination or following penetrating cerebral trauma or neurosurgery
Case synopsis A 36-year-old Hispanic male presented to the emergency department (ED) with complaints of left eye swelling, headache and drowsiness
The patient had been seen two weeks prior to this visit at another emergency department for left eye swelling. He was diagnosed with a periorbital abscess and discharged home from the ED on a course of oral antibiotics
Summary
Intracranial abscesses are rare and life-threatening conditions that typically originate from direct extension from nearby structures, hematogenous dissemination or following penetrating cerebral trauma or neurosurgery. Case synopsis A 36-year-old Hispanic male presented to the emergency department (ED) with complaints of left eye swelling, headache and drowsiness. The patient had been seen two weeks prior to this visit at another emergency department for left eye swelling. He was diagnosed with a periorbital abscess and discharged home from the ED on a course of oral antibiotics.
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