Brain abscesses due to odontogenic infection: Case series

2021 ◽  
Author(s):  
Ana Cristina Corrêa Da Silva ◽  
Patrícia Verónica Aulestia Viera ◽  
Augusto Arcemiro Bittencourt ◽  
Juliana Vieira Cavalcante ◽  
Tathiana Marinho Blanco ◽  
...  
Keyword(s):  
Case Series ◽  
Odontogenic Infection ◽  
Brain Abscesses

Successful treatment of actinomyces brain abscesses using once daily parenteral ceftriaxone in an outpatient setting: a case series

2008 ◽  
Vol 57 (5) ◽  
pp. 426-427
Author(s):  
B. Stone ◽  
T.G. Patel ◽  
T.I. De Silva ◽  
S.T. Green ◽  
A.L.N. Chapman
Keyword(s):  
Successful Treatment ◽  
Case Series ◽  
Outpatient Setting ◽  
Once Daily ◽  
Brain Abscesses

scholarly journals Tuberculous brain abscesses: Case series and review of literature

2011 ◽  
Vol 02 (02) ◽  
pp. 153-157 ◽  
Author(s):  
Sarala Menon ◽  
Renu Bharadwaj ◽  
A.S. Chowdhary ◽  
D.V. Kaundinya ◽  
D.A. Palande
Keyword(s):  
Brain Abscess ◽  
Mr Spectroscopy ◽  
Case Series ◽  
Final Diagnosis ◽  
Diagnostic Dilemma ◽  
Proton Mr Spectroscopy ◽  
Microbiological Culture ◽  
Brain Abscesses ◽  
Tuberculous Brain Abscess

ABSTRACT Introduction: Tuberculous brain abscess (TBA) is a rare but serious condition. It resembles a pyogenic brain abscess clinically and radiologically and poses a problem in diagnosis and treatment. A final diagnosis is established by smear or culture demonstration of acid fast bacilli (AFB) within the abscess. Here, we report four such cases in our fiveyear study on brain abscesses, along with the different diagnostic modalities used. Materials and Methods: A total of 75 brain abscess pus specimens were collected during neurosurgery, either by burr hole or by craniotomy. These specimens were further subjected to Gram stain, Ziehl-Neelsen (ZN) stain, and conventional microbiological culture. Only those cases which showed presence of AFB on ZN stain along with the growth of Mycobacterium tuberculosis were considered as TBAs. Such TBA cases were further presented along with their In vitro Proton Magnetic Resonance (MR) Spectroscopic findings. Results: Of these four patients, three were males. Though this condition is more commonly seen in immunocompromised patients, three of the patients in this study were immunocompetent. All the four pus specimens showed presence of AFB in the ZN stain. Three of them grew M. tuberculosis as sole isolate. The fourth case was of concomitant tuberculous and pyogenic brain abscess. In vitro Proton MR spectroscopy of the pus specimens showed absence of multiple amino acids at 0.9 ppm, which was found to be hallmark of TBA. One patient died of four. Conclusions: TBA always poses a diagnostic dilemma. ZN stain and conventional microbiological culture for Mycobacteria always help to solve this dilemma. In vitro Proton MR Spectroscopy also seems to have the diagnostic utility.

scholarly journals Necrotizing fasciitis as a complication of odontogenic infection: a review of management and case series

2017 ◽  
Vol 62 (3) ◽  
pp. 317-322 ◽  
Author(s):  
K Bayetto ◽  
A Cheng ◽  
P Sambrook
Keyword(s):  
Necrotizing Fasciitis ◽  
Case Series ◽  
Odontogenic Infection

scholarly journals A case series of brain abscesses: an eleven-year retrospective single center study

2021 ◽  
Vol 15 (06) ◽  
pp. 791-797
Author(s):  
Rami Waked ◽  
Hassan Tarhini ◽  
Hussein Mansour ◽  
Gebrael Saliba ◽  
Nabil Chehata ◽  
...  
Keyword(s):  
Stereotactic Biopsy ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
Case Series ◽  
Rare Condition ◽  
Source Of Infection ◽  
Single Center Study ◽  
Brain Abscesses ◽  
Worse Prognosis

Introduction: We lack data on the epidemiology and management of brain abscesses in the Middle East. The aim of this study is to report a case series of brain abscesses admitted at a tertiary care center in Lebanon, between January 2008 and December 2018. Methodology: This retrospective study aimed at determining the demographic data, treatment, and correlations between different studied variables with prognosis of patients that received treatment. Results: Forty-one patients (30 males) were included with a median age of 37 years (2-85). The analysis showed that the classic triad of fever, headache and neurologic deficit was only present in 12% of patients on admission. The source of infection was contiguous in 36.5%, post surgical in 32%, and distant in 17% of cases. Stereotactic biopsy was performed in 41.5% of patients, and craniotomy in 19.5%. A microorganism was isolated in 63% of patients (26 cases). The most used antibiotics were carbapenems (46%) and glycopeptides (66%). Eighty percent of patient (33) had a good outcome. A worse prognosis was significantly correlated with immunosuppression and multiple cerebral abscesses. Conclusions: Brain abscess remains a relatively rare condition.

Skull Base Sphenoid Bone: A Potential Route of Brain Abscesses Induced by Odontogenic Infection

2020 ◽  
Vol 32 (1) ◽  
pp. e32-e34
Author(s):  
Yiting Lou ◽  
Bin Feng ◽  
Hui Hong ◽  
Binbin Ying ◽  
Mengfei Yu ◽  
...  
Keyword(s):  
Skull Base ◽  
Odontogenic Infection ◽  
Sphenoid Bone ◽  
Brain Abscesses

Multiple Brain Abscesses Due to Odontogenic Infection

2020 ◽  
Vol 33 (2) ◽  
pp. 604-606
Author(s):  
Nicolas Alejandro Gemelli ◽  
Luis Alejandro Boccalatte ◽  
Nicolas Marcelo Ciarrocchi
Keyword(s):  
Odontogenic Infection ◽  
Brain Abscesses

scholarly journals Brain abscesses and intracranial empyema due to dental pathogens: Case series

2020 ◽  
Vol 69 ◽  
pp. 35-38
Author(s):  
Charlène Kichenbrand ◽  
Alix Marchal ◽  
Alizée Mouraret ◽  
Nasr Hasnaoui ◽  
Julie Guillet ◽  
...  
Keyword(s):  
Case Series ◽  
Brain Abscesses

scholarly journals Cerebral Abscess Potentially of Odontogenic Origin

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Marouene Ben Hadj Hassine ◽  
Lamia Oualha ◽  
Amine Derbel ◽  
Nabiha Douki
Keyword(s):  
Brain Abscess ◽  
Odontogenic Infection ◽  
Successful Outcome ◽  
Antibiotic Regimen ◽  
Abscess Drainage ◽  
Microscopic Identification ◽  
Relative Paucity ◽  
Cerebellar Abscess ◽  
Odontogenic Origin ◽  
Brain Abscesses

Odontogenic origins are rarely implicated in the formation of brain abscesses. The relative paucity of this kind of infection and the difficulty in matching the causative microorganisms of a brain abscess to an odontogenic source can explain the late management of patients. We herein describe a case of a 46-year-old man with a cerebellar abscess that was probably due to an odontogenic infection. The diagnosis supported by imaging and microscopic identification, mini craniectomy for abscess drainage followed by eradication of all potential dental infectious foci, and an antibiotic regimen based on cephalosporins, metronidazole, and vancomycine contributed to a successful outcome.

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