scholarly journals From dental infection to extradural empyema: a case report

2019 ◽  
Vol 25 (2) ◽  
pp. 20
Author(s):  
Clément Comte ◽  
Nasr Hasnaoui
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Ct Scan ◽  
Brain Abscess ◽  
Systematic Investigation ◽  
Subdural Empyema ◽  
Dental Infection ◽  
Dental Origin ◽  
Eye Infection

Introduction: Brain infections of dental origin are rare, but well-known and accurately described. There are two different brain infections: brain abscess, the most frequent, and extradural or subdural empyema. Here, we discuss the case of an extradural empyema. Observation: A 28-year-old man with a very poor dental condition showed neurological and eye infection signs. A brain and face CT scan revealed extradural empyema, orbit abscess and pansinusitis. These infections had all dental origin: an apical lesion of tooth 26. Discussion: Such severe cases must be surgically and medically treated with a strong antibiotic therapy. A systematic investigation and the treatment of dental infected areas are both necessary.

scholarly journals Brain Abscess of Dental Origin: A Case Report and Literature Review

2021 ◽  
pp. 1-5
Author(s):  
Selmi wissal ◽  
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Correct Diagnosis ◽  
Final Diagnosis ◽  
Oral Infections ◽  
Pubmed Database ◽  
Dental Origin ◽  
Life Threatening ◽  
The Right

Introduction: Brain abscess (BA)of dental origin is a rare but potentially life-threatening complication of odontogenic infection that requires immediate neurosurgical attention. It is defined as an encapsulated collection of pus in various areas of the brain. The infectious process spreads from the dental site and occurs in 2 ways: haematogenous route or by contiguity. Treatment should ideally be based on the etiological factor excision, combined with drainage and adjuvant antibiotic therapy. The aim of this article was to report a case of frontal brain abscess of dental origin and to review the literature. Case report: We present the case of a 36-year-old man diagnosed with a brain abscess located in the frontal lobe and caused by a periodontal lesion of the right upper first molar. The final diagnosis was established due to the availability of computed tomography and magnetic resonance imaging. Drainage of the pus combined with extraction of the tooth and antibiotic therapy was followed by an excellent recovery. Clinical and radiological features, treatment and follow-up data were documented. A review of the literature using the PubMed database was performed Conclusion: Oral infections can lead to life-threatening infections, such as brain abscesses. Early detection of this condition through correct diagnosis is essential to give the patient the best treatment; in addition, improving of the oral environment and treating oral infections is highly recommended to limit this serious condition.

scholarly journals Brain Abscess Caused by Nocardia: Case Report and Literature Review

2020 ◽  
Author(s):  
Guilherme Finger ◽  
Maria Eduarda Conte Gripa ◽  
Tiago Paczko Bozko Cecchini ◽  
Tobias Ludwig do Nascimento
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Clinical Signs ◽  
Occipital Lobe ◽  
High Morbidity ◽  
Rare Clinical Entity ◽  
Brain Abscesses

AbstractNocardia brain abscess is a rare clinical entity, accounting for 2% of all brain abscesses, associated with high morbidity and a mortality rate 3 times higher than brain abscesses caused by other bacteria. Proper investigation and treatment, characterized by a long-term antibiotic therapy, play an important role on the outcome of the patient. The authors describe a case of a patient without neurological comorbidities who developed clinical signs of right occipital lobe impairment and seizures, whose investigation demonstrated brain abscess caused by Nocardia spp. The patient was treated surgically followed by antibiotic therapy with a great outcome after 1 year of follow-up.

Multiple brain abscess from dental origin: case report and literature review

2011 ◽  
Vol 16 (4) ◽  
pp. 393-397 ◽  
Author(s):  
Marcelo Rodrigues Azenha ◽  
Guilherme Homsi ◽  
Idelmo Rangel Garcia
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Brain Abscess ◽  
Dental Origin

scholarly journals An unusual case of dental infection by Pseudomonas aeruginosa causing a brain abscess: case report

2017 ◽  
Vol 62 (4) ◽  
pp. 523-527 ◽  
Author(s):  
RS Pereira ◽  
JP Bonardi ◽  
ACD Ferreira ◽  
GL Latini
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Case Report ◽  
Brain Abscess ◽  
Unusual Case ◽  
Dental Infection

Finegoldia magna Causing Brain Abscess with Subdural Empyema: Case Report

2016 ◽  
Vol 05 (06) ◽  
Author(s):  
Sonmez MA ◽  
Alpay Y ◽  
Karademir M ◽  
Eser O
Keyword(s):  
Case Report ◽  
Brain Abscess ◽  
Subdural Empyema

Sinogenic intracranial complications

1995 ◽  
Vol 109 (10) ◽  
pp. 945-950 ◽  
Author(s):  
Bharath Singh ◽  
James Van Dellen ◽  
Shanil Ramjettan ◽  
Tejprakash J. Maharaj
Keyword(s):  
Ct Scan ◽  
Brain Abscess ◽  
Primary Care Physicians ◽  
Primary Source ◽  
Subdural Empyema ◽  
Mortality And Morbidity ◽  
Source Of Infection ◽  
Threatening Condition ◽  
Intracranial Complications ◽  
Serious Disease

AbstractTwo hundred and nineteen patients, with intracranial complications of sinusitis, are presented. Sinusitis is still a life-threatening condition and if neglected, or mismanaged, can lead to intracranial complications that result in a high mortality and morbidity.Twenty-two patients had meningitis, 127 subdural empyema, 38 brain abscess, 15 combined brain abscess and subdural empyema and 17 extradural empyema. The diagnosis of intracranial abscess and sinusitis was made with the aid of a CT scan, and that of meningitis on cerebrospinal fluid microscopy, chemistry and culture. The most frequent presenting signs were fever (68 per cent) and headache (54 per cent). The most common localizing neurological sign was hemiparesis (35.5 per cent). Orbital inflammation was present in 41.5 per cent of patients.Treatment entailed immediate, appropriate, intravenous antibiotic therapy and prompt surgery, performed within 12 hours of admission. In patients with meningitis, the surgery entailed surgery of the sinus disease only. In patients with subdural empyema, brain abscess and extradural empyema, evacuation of the primary source of infection by the radical frontoethmoidectomy approach, immediately after drainage of the intracranial collection of pus, was carried out.There were 35 deaths (16 per cent). The highest mortality rate was recorded in patients with meningitis (45 per cent) followed by brain abscess (19 per cent) and subdural empyema (11 per cent). Despite advances in medicine, i.e. antibiotics and CT scan for early and accurate diagnosis, the mortality from sinogenic intracranial complications has remained significant. This can only be eliminated through education. This paper emphasizes to younger generations of otolaryngologists and primary care physicians that sinusitis is a serious disease and there is no place for delay or complacency when managing such patients.

scholarly journals Successfully treated multiple brain abscess in a newborn: a case report

2017 ◽  
Vol 31 (2) ◽  
pp. 172-177
Author(s):  
Aleksic Vuk ◽  
Mihajlovic Miljan ◽  
Zivković Nenad ◽  
Misela Raus ◽  
Marko Samardzic ◽  
...  
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Ventriculoperitoneal Shunt ◽  
Combined Therapy ◽  
Late Complication ◽  
Primary Source ◽  
Medical Problem ◽  
High Morbidity ◽  
Brain Abscesses

Abstract Multiple brain abscesses are exceedingly uncommon in newborns and represent a serious medical problem associated with high morbidity and mortality. Treatment is also controversial issue, and can require surgery, abscess aspiration, antibiotic therapy, and eradication of the primary source. We report a case of successfully treated multiple brain abscess in a newborn with combined therapy which consisted of abscess aspiration and prolonged antibiotics. Patient developed hydrocephalus as late complication which was also successfully treated with ventriculoperitoneal shunt.

Interhemispheric Subdural Empyema - Case Report

Swiss Surgery ◽  
2001 ◽  
Vol 7 (5) ◽  
pp. 229-232 ◽  
Author(s):  
Stephanov ◽  
Sidani ◽  
Amacker
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Brain Edema ◽  
Subdural Empyema ◽  
Burr Hole ◽  
Low Density ◽  
Subdural Space ◽  
Direct Introduction

We report a case of interhemispheric subdural empyema following a meningoencephalitis. Ten days after the beginning of his illness a CT scan showed a left interhemispheric subdural empyema with a low density collection, a faintly enhancing rim, multiple very small cortical abscesses and brain edema. The empyema was successfully treated by the direct introduction of a catheter into the left interhemispheric subdural space via a single posterior frontal parasagittal burr hole, irrigation with saline, aspiration of the empyema, and removal of the catheter at the end of operation.

scholarly journals A Brain Tumor Mimicking Brain Abscess

2019 ◽  
Vol 2 (2) ◽  
pp. 38-44
Author(s):  
Achmad Harun Muchsin ◽  
Rachmat Faisal Syamsu ◽  
Armanto Makmun
Keyword(s):  
Brain Tumor ◽  
Antibiotic Therapy ◽  
Ct Scan ◽  
Contrast Enhancement ◽  
Brain Abscess ◽  
Empirical Antibiotic Therapy ◽  
Surgical Drainage ◽  
Head Ct ◽  
Microbiological Culture ◽  
Microscopic Evaluation

A brain tumor could be mimicking brain abscess in some cases. Not just in imaging but also both of has a similar symptoms, physician must anamnesis properly and run several tests. A brain abscess is an intraparenchymal collection of pus. The incidence of brain abscesses is approximately 8% of intra-cranial masses in developing countries and 12% in the western countries. In this case, we reports a male patient with gradually left hemiplegia, left deviation of tongue, left hemifacial paresis, and visual hallucination and psychological disturbance. Initial imaging showed the possibilities of space occupying lessions (SOL) with suspect to Astrocytoma. But, based from the history taking, there is bad habit of oral hygiene, that the patient usually sticks his gum with tooth stick and after confirmation from second head CT scan with contrast enhancement, confirmed right cerebral abscess with perifocal oedem. After 2 weeks empirical antibiotic therapy, there is significant clinically improvement. But, after we confirm with second Head CT scan with contrast enhancement, there is a very minimum decreased size of the abscess lesion, so surgical drainage is indicated. We collect Xanthochromic liquid from surgical drainage (not purulent), and from microscopic evaluation inflammation lesion confirmed. But by microbiological culture, there is no growth of aerobic bacteria from drainage liquid culture, we assume because of empirical antibiotic therapy was started before the microbiological culture test. After surgical drainage, there is no complication, and clinical become more improve.

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