Brain abscesses in a patient with a patent foramen ovale: a case report

INTRODUCTION: Brain abscesses arising from right-to-left cardiac shunting are very rare in adults. CASE PRESENTATION: We describe the case of a 47-year-old non-hispanic white male with periodontal disease who developed several brain abscesses caused by Streptococcus intermedius. A comprehensive work...

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Detalles Bibliográficos
Autores principales: Jan, Fuad, Hafiz, Abdul Moiz, Gupta, Saurabh, Meidl, John, Allaqaband, Suhail
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803822/
https://www.ncbi.nlm.nih.gov/pubmed/20062788
http://dx.doi.org/10.1186/1752-1947-3-9299
Descripción
Sumario:INTRODUCTION: Brain abscesses arising from right-to-left cardiac shunting are very rare in adults. CASE PRESENTATION: We describe the case of a 47-year-old non-hispanic white male with periodontal disease who developed several brain abscesses caused by Streptococcus intermedius. A comprehensive workup revealed a patent foramen ovale with oral flora as the only plausible explanation for the brain abscesses. CONCLUSION: Based on this case and the relevant literature, we suggest an association between a silent patent foramen ovale, paradoxical microbial dissemination to the brain, and the development of brain abscesses.

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