scholarly journals A case of odontogenic brain abscess arising from covert dental sepsis

2012 ◽  
Vol 94 (1) ◽  
pp. e41-e43 ◽  
Author(s):  
TC Clifton ◽  
S Kalamchi
Keyword(s):  
Case Report ◽  
Brain Abscess ◽  
Dental Treatment ◽  
The Body ◽  
Tooth Decay ◽  
Odontogenic Infections ◽  
Life Threatening ◽  
Brain Abscesses ◽  
Dental Infections

Odontogenic infections can spread to any organ of the body and in some cases cause life threatening infections. We report a case of multiple odontogenic brain abscesses resulting from undetected tooth decay. Whereas most odontogenic brain abscesses occur following dental treatment, this report documents brain abscesses prior to dental treatment, signifying the dangers of covert dental infections. This case report updates the literature on the topic of odontogenic brain abscesses.

scholarly journals Brain Abscess and Dental Infections: a review

2018 ◽  
Vol 32 (2) ◽  
pp. 283-289
Author(s):  
Johana Maraby-Salgado ◽  
Samer S. Hoz ◽  
Alexis Narvaez-Rojas ◽  
Guru Dutta Satyarthee ◽  
Loraine Quintana-Pajaro ◽  
...  
Keyword(s):  
High Risk ◽  
Brain Abscess ◽  
Brain Lesions ◽  
Odontogenic Infections ◽  
Life Threatening ◽  
Brain Abscesses ◽  
Dental Infections ◽  
The Relationship

Abstract Odontogenic infections may cause brain abscesses. Although infrequent, infections can lead to development of aggressive brain lesions that may be life-threatening for patients. With the advent of new antibiotic treatments, dental abscesses appear to be under control but all patients with high risk of brain abscess should be assessed and treated properly. Hereby, we present an overview of the information available in the literature of the relationship between brain and dental abscesses.

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.

scholarly journals Brain abscess due to Aggregatibacter aphrophilus and Bacteroides uniformis

2015 ◽  
Vol 44 (2) ◽  
pp. 181
Author(s):  
Maja Bogdan ◽  
Vlasta Zujić Atalić ◽  
Ivan Hećimović ◽  
Dubravka Vuković
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Surgical Treatment ◽  
Brain Abscess ◽  
Neurological Deficit ◽  
Resonance Imaging ◽  
Aggregatibacter Aphrophilus ◽  
Threatening Condition ◽  
Life Threatening ◽  
The Brain

<p><strong>Objective</strong>. The aim of this report was to describe the occurrence of a bacterial brain abscess in a healthy individual, without any predisposing condition. <strong>Case report</strong>. A thirteen-year old boy was admitted to the Department of Neurosurgery after the onset of vomiting, headache and dizziness. A neurological deficit was detected during the physical examination so urgent magnetic resonance imaging of the brain was performed, revealing an intrahemispheric, right positioned solitary expansive mass with ring enhancement. Purulent material was obtained during osteoplastic craniotomy with total extirpation of the brain abscess. Aggregatibacter aphrophilus and Bacteroides uniformis were isolated. The patient’s general condition improved and the neurological deficit subsided as a result of the prompt recognition and treatment of this life threatening condition. <strong>Conclusion</strong>. To achieve a favourable clinical outcome, prompt recognition and surgical treatment of a brain abscess are of primary importance,followed by administration of appropriate antimicrobial therapy. To our best knowledge, this is the first report of this combination of microorganisms as the cause of a brain abscess.</p>

scholarly journals Case of Bullous Impetigo Developing into Staphylococcal Scalded Skin Syndrome: Case Report

2019 ◽  
Vol 1 (1) ◽  
pp. 4-6
Author(s):  
Elharrouni A ◽  
Elimam M ◽  
Dassouly R ◽  
Hnach KH ◽  
Elloudi S ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Case Report ◽  
Sore Throat ◽  
The Body ◽  
Small Children ◽  
Staphylococcal Scalded Skin Syndrome ◽  
Life Threatening ◽  
Skin Conditions

Staphylococcus aureus can cause exfoliative skin conditions, ranging from localized bullous impetigo (BI) to staphylococcal scalded skin syndrome (SSSS). The latter is a potentially life-threatening disorder, which leads to blistering of the upper layer of the skin, by the release of a circulating exotoxin. The disease especially affects infants and small children but has also been described in adults. SSSS usually presents with a prodrome of sore throat or conjunctivitis. The infection is often peri-facial impetigo, here is usually no bacteremia. Bullous impetigo, the toxin produces blisters locally at the site of infection, whereas in cases of the scalded-skin syndrome, it circulates throughout the body, causing blisters at sites distant from the infection.

Brain Abscess

2016 ◽  
Author(s):  
Sneha A. Chinai
Keyword(s):  
Brain Abscess ◽  
Signs And Symptoms ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Source Of Infection ◽  
Empiric Antibiotic ◽  
Life Threatening ◽  
Brain Abscesses ◽  
The Brain ◽  
Repeat Imaging

A brain abscess is a life-threatening infection within the brain that originates as cerebritis and evolves into an encapsulated collection of purulent material. Epidemiologically, brain abscesses are seen more frequently in immunocompromised patients. The signs and symptoms of a brain abscess are influenced by the location and size of the infection, the causative pathogen, and the patient’s immune status and medical comorbidities. This diagnosis requires neurosurgical consultation for management and inpatient admission. The majority of patients undergo either needle aspiration or surgical excision. This is critical for obtaining a specimen for culture in order to direct accurate and specific antimicrobial therapy. Needle aspiration is more commonly utilized and has a lower mortality rate than surgical excision. Repeat imaging is required for any change in mental status. Empiric antibiotic selections are guided by the most likely source of infection and are adjusted for renal function.

scholarly journals Microbiological Spectrum of Brain Abscess at a Tertiary Care Hospital in South India: 24-Year Data and Review

2011 ◽  
Vol 2011 ◽  
pp. 1-12 ◽  
Author(s):  
V. Lakshmi ◽  
P. Umabala ◽  
K. Anuradha ◽  
K. Padmaja ◽  
C. Padmasree ◽  
...  
Keyword(s):  
Brain Abscess ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Salmonella Typhi ◽  
Care Hospital ◽  
Emerging Pathogens ◽  
Diagnostic Challenge ◽  
Life Threatening ◽  
Brain Abscesses

Intracranial abscesses are life-threatening infections that pose a diagnostic challenge not only to the neurosurgeon but also to the microbiologists. Detailed studies documenting the spectrum of infecting agents involved in brain abscesses are limited from India. Materials and Methods. This is a retrospective analysis of 352 samples from 1987 to 2010 analyzed at a tertiary care hospital in South India from 1987 to 2010, to document the changing trends with time. Results. The age of the patients ranged from 2 to 80 years, a larger number of males being affected. Otogenic infections were the most common cause while cryptogenic abscesses were 20%. Gram stain and culture positivity were 78% each. Gram-positive and negative facultative aerobes and obligate anaerobes were also on the rise. Unusual organisms, like Burkholderia pseudomallei, Salmonella typhi, Nocardia species, Cladosporium bantiana, Fonsecaea pedrosoi, Entamoeba histolytica, and Acanthamoeba were also isolated and/or detected from the brain abscesses aspirate or resected tissue. Summary. New and emerging pathogens associated with brain abscess, especially in immunosuppressed individuals, have renewed the necessity of an early detection, and it will be of great value in appropriate management of patients with brain abscess.

Mobius syndrome: a case report

2003 ◽  
Vol 26 (2) ◽  
pp. 207-209
Author(s):  
G. Aren
Keyword(s):  
Case Report ◽  
Facial Expression ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Dental Treatment ◽  
Tooth Decay ◽  
Möbius Syndrome ◽  
The Right

Mobius Syndrome is characterized by showing unilateral facial nerve palsy of the sixth and seventh nerves, lack of facial expression, inability to smile and to tightly close the right eyelids. In this report, a 7-year-old-boy with Mobius syndrome is presented. He had asymmetry of facial expression, anomalies of fingers and severe tooth decay. After dental treatment, the periodic re-care visits should be done according to the eruption pattern.

scholarly journals Mycobacterium Avium Complex Infection as a Rare Cause of Cerebral Mass Lesion and IRIS in a Patient with AIDS: Case Report and Review of the Literature

2021 ◽  
Author(s):  
Courtney Lane-Donovan ◽  
Emma Bainbridge ◽  
John Szumowski ◽  
Andrew D Kerkhoff ◽  
Michael J Peluso
Keyword(s):  
Case Report ◽  
Brain Abscess ◽  
Mycobacterium Avium ◽  
Diagnostic Tool ◽  
Mycobacterium Avium Complex ◽  
Brain Biopsy ◽  
Mass Lesion ◽  
Review Of The Literature ◽  
Clinicopathologic Characteristics ◽  
Brain Abscesses

Abstract A patient with advanced HIV/AIDS presented with a brain abscess. While brain biopsy culture and pathology were unrevealing, universal broad-range PCR (uPCR) demonstrated Mycobacterium avium complex (MAC). We review the clinicopathologic characteristics of MAC brain abscesses and highlight the effectiveness of uPCR as a diagnostic tool in partially-treated infections.

scholarly journals Prevotella brain abscess in a healthy patient with a patent foramen ovale: Case report

2021 ◽  
Vol 12 ◽  
pp. 548
Author(s):  
Yu Akimoto ◽  
Kiyoyuki Yanaka ◽  
Kuniyuki Onuma ◽  
Kazuhiro Nakamura ◽  
Eiichi Ishikawa
Keyword(s):  
Brain Abscess ◽  
Patent Foramen Ovale ◽  
Foramen Ovale ◽  
Brain Infection ◽  
Source Of Infection ◽  
Venous Shunt ◽  
Life Threatening ◽  
Brain Abscesses ◽  
The Right ◽  
The Brain

Background: Brain abscesses are relatively rare life-threatening infectious lesions often concomitant with a direct spillover of inflammation in the head or neck, hematogenous infections, and immunocompromised conditions. They rarely occur in adults without such predisposing factors. Prevotella is a well-known dental pathogen that very rarely causes brain abscesses. Case Description: We report such an abscess in a 51-year-old man who was innately healthy and had no oral lesions. A comprehensive computed tomography examination of the chest, abdomen, and pelvis, was inconclusive but a transesophageal echocardiogram bubble study revealed a mild patent foramen ovale (PFO) that matched Grade 1 criteria. We deduced that the right-left shunt due to the PFO could have contributed to the brain infection and treated the patient successfully via surgical abscess aspiration and antibiotics. Conclusion: In case of a brain abscess occurring in healthy adults, it is essential to investigate the source of infection and the existence of an arterio-venous shunt, such as PFO.

scholarly journals Tranexamic Acid in a Case Report of Life-threatening Nontraumatic Hemorrhage in Immune Thrombocytopenic Purpura

2020 ◽  
Vol 4 (3) ◽  
pp. 421-423
Author(s):  
Melanie Randall ◽  
Jason Nurse ◽  
Karan Singh
Keyword(s):  
Case Report ◽  
Tranexamic Acid ◽  
Immune Thrombocytopenic Purpura ◽  
The Body ◽  
Thrombocytopenic Purpura ◽  
Increased Risk ◽  
Life Threatening ◽  
Traditional Therapies ◽  
Effective Adjunct ◽  
Uncontrolled Bleeding

Introduction: Immune thrombocytopenic purpura (ITP) is an autoimmune-mediated disorder in which the body produces antibodies that destroy platelets, causing an increased risk of bleeding and bruising. Tranexamic acid (TXA) is a medication that prevents clot breakdown and is used to treat uncontrolled bleeding. Case Report: We present the case of an 11-year-old female with significant epistaxis and hypotension in the emergency department. Traditional therapies were initiated; however, the patient continued to have bleeding and remained hypotensive, so intravenous TXA was given. The patient’s bleeding then resolved. Conclusion: TXA may be a safe and effective adjunct to traditional therapies for the treatment of life-threatening hemorrhage in ITP patients.

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