Multiple Brain Abscesses: An Unusual Case

Document Type : Case Report

Authors

1 Department of Neurology, School of Medicine, Non Communicable Disease Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

2 Department of Radiology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

3 Department of Pathology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

4 Radiology Resident, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

5 Student Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran

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


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