@article { author = {Vakilian, Alireza and Farahmand, Habib and Ahmadi Kahnali, Jafar and Eslammanesh, Tahereh and Rezvan, Sajad and Karimi Matloub, Saeid}, title = {Multiple Brain Abscesses: An Unusual Case}, journal = {Journal of Kerman University of Medical Sciences}, volume = {29}, number = {2}, pages = {175-182}, year = {2022}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {10.22062/jkmu.2022.91897}, abstract = {Brain abscess is a collection of pus with a vascular capsule beginning as a cerebritis at its early stage. The incidence rate of brain abscess is approximately 0.13-0.9 per 100,000 person-year. In 33% of cases, brain abscess is spread hematogenously, mostly with endocarditis (13%), pulmonary infection (8%), or dental infection (5%). Other cases are attributed to recent neurosurgeries (9%) or cranial traumas (14%). Streptococcus and Staphylococcus species are the most common microorganisms causing brain abscesses. The symptoms presented include headache, fever, nausea, vomiting, focal neurologic symptoms, lethargy, and seizure. In this study, a 44-year-old coal worker methadone-abuser man who was admitted with the presentation of altered mental status, headache, imbalance, and vertigo with widespread ring-enhancing lesions in his brain caused by multiple brain abscesses due to solitary lung abscess without pulmonary disease symptoms is reported. Altered consciousness and dysphagia were considered as a cause for his aspiration.}, keywords = {Multiple brain abscesses,Hematogenous spread,Confusional state,Ring enhancing lesion}, url = {https://jkmu.kmu.ac.ir/article_91897.html}, eprint = {https://jkmu.kmu.ac.ir/article_91897_25cfd25ad3f40a95bc612c6a4aeb9c9f.pdf} }