Multiple Intracranial Abscesses Research Articles

Multiple intracranial abscesses: Heralding asymptomatic venosus ASD

A case of multiple intracranial abscesses in an immune-competent young girl is reported. She had chicken pox. Two weeks later, she presented with multiple intracranial abscesses. No significant cardiac abnormality was detected on transthoracic echocardiogram (TTE). The condition was treated medically. However, one of the abscesses adjacent to the CSF pathways enlarged on treatment and caused obstructive hydrocephalus that required stereotactic aspiration. Gram stain showed gram positive cocci in chain. Pus was sterile on culture. She was treated with broad spectrum IV antibiotics based on Gram staining report for 6 weeks followed by another 8 weeks of oral antibiotics. She made good recovery and had been leading a normal life. The abscess capsules took 30 months to resolve completely on MRI. A repeat TTE done in the follow up showed enlarged right heart chambers with a suggestion of a venosus ASD. A trans-esophageal echocardiogram (TEE) confirmed the presence of sinus venosus ASD from the SVC side with mainly left to right shunt. There was also partial anomalous drainage of the pulmonary veins. The patient underwent correction of the defect and has been doing well.

Pott's puffy tumor in a 5-year-old male and a review of the literature

Pott's puffy tumor is a rare entity, described as a subperiosteal abscess associated with underlying cranial osteomyelitis. It is more commonly seen in the adolescent age group and may result from frontal sinusitis or trauma. We present a case of a 5-year-old male with forehead swelling, meningitis, and brain abscess communicating between epidural and subdural spaces. Treatment included 8 weeks antibiotic therapy with broad spectrum coverage of anerobic and aerobic organisms. Initial surgical approach included soft tissue incision and drainage of abscess, right frontal sinus trephine, and right endoscopic sinus surgery. One week after his initial procedure, he returned to OR for right pterional craniotomy for drainage of multiple intracranial abscesses. Total inpatient care was 4 weeks duration, and a full recovery was achieved with no long term neurological sequelae. We include an updated review of the literature of pediatric Pott's puffy tumor in children less than 10 years of age.

下顎の歯性感染症から継発した多発性頭蓋内膿瘍の1例

We report a rare case of multiple intracranial abscesses secondary to mandibular odontogenic infection. A 62-year-old man was admitted to our hospital because of general malaise, which developed after swelling of the right cheek, masticatory pain, and trismus. We detected no abnormality in the oral cavity, but hematologic examinations showed elevated levels of white blood cells and C-reactive protein. The patient was hospitalized for further evaluation. A computed tomographic scan revealed multiple intracranial shadows. After consultation with the Department of Neurosurgery, multiple intracranial abscesses secondary to mandibular odontogenic infection were diagnosed. The patient was transferred to the Department of Neurosurgery, and conservative therapy was administered. However, the symptoms worsened. Therefore, drainage by craniotomy was performed to remove the abscess. After surgery, we extracted the right lower second molar as the infection source because a magnetic resonance imaging scan showed no evidence of multiple intracranial abscesses. Subsequently, he recovered well without any sequelae.

Multiple intracranial abscesses due toCryptococcus neoformans: an unusual clinical feature in an immunocompetent patient and a short review of reported cases

We present a case of multiple intracranial abscesses caused by Cryptococcus neoformans in a patient who presented with no symptoms of immunodeficiency.

Multiple intracranial abscesses due to Cryptococcus neoformans: an unusual clinical feature in an immunocompetent patient and a short review of reported cases

We present a case of multiple intracranial abscesses caused by Cryptococcus neoformans in a patient who presented with no symptoms of immunodeficiency.

Multiple intracranial tubercular abscesses in a child

2 Year old girl presented with fever and cough for 4 months. Neurological examination revealed right sided hemiplegia. Contrast enhanced computed tomography of brain showed multiple hypodense ring enhancing lesions. Pus on aspiration of intracranial abscess showed positive polymerase chain reaction for Mycobacterium tuberculosis. A possibility of tuberculosis though not commonly recognised may be considered in any child presenting with prolonged fever and multiple intracranial abscesses.