Cargando…
An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess
BACKGROUND: Ischemic stroke by septic embolism occurs primarily in the context of infective endocarditis or in patients with a right-to-left shunt and formation of a secondary cerebral abscess is a rare event. Erosion of pulmonary veins by a pulmonary abscess can lead to transcardiac septic embolism...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517440/ https://www.ncbi.nlm.nih.gov/pubmed/23121862 http://dx.doi.org/10.1186/1471-2377-12-133 |
_version_ | 1782252411683864576 |
---|---|
author | Albrecht, Philipp Stettner, Mark Husseini, Leila Macht, Stephan Jander, Sebastian Mackenzie, Colin Oesterlee, Ulrike Slotty, Philipp Methner, Axel Hartung, Hans-Peter Aktas, Orhan |
author_facet | Albrecht, Philipp Stettner, Mark Husseini, Leila Macht, Stephan Jander, Sebastian Mackenzie, Colin Oesterlee, Ulrike Slotty, Philipp Methner, Axel Hartung, Hans-Peter Aktas, Orhan |
author_sort | Albrecht, Philipp |
collection | PubMed |
description | BACKGROUND: Ischemic stroke by septic embolism occurs primarily in the context of infective endocarditis or in patients with a right-to-left shunt and formation of a secondary cerebral abscess is a rare event. Erosion of pulmonary veins by a pulmonary abscess can lead to transcardiac septic embolism but to our knowledge no case of septic embolic ischemic stroke from a pulmonary abscess with secondary transformation into a brain abscess has been reported to date. CASE PRESENTATION: We report the case of a patient with a pulmonary abscess causing a septic embolic cerebral infarction which then transformed into a cerebral abscess. After antibiotic therapy and drainage of the abscess the patient could be rehabilitated and presented an impressive improvement of symptoms. CONCLUSION: Septic embolism should be considered as cause of ischemic stroke in patients with pulmonary abscess and can be followed by formation of a secondary cerebral abscess. Early antibiotic treatment and repeated cranial CT-scans for detection of a secondary abscess should be performed. |
format | Online Article Text |
id | pubmed-3517440 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35174402012-12-08 An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess Albrecht, Philipp Stettner, Mark Husseini, Leila Macht, Stephan Jander, Sebastian Mackenzie, Colin Oesterlee, Ulrike Slotty, Philipp Methner, Axel Hartung, Hans-Peter Aktas, Orhan BMC Neurol Case Report BACKGROUND: Ischemic stroke by septic embolism occurs primarily in the context of infective endocarditis or in patients with a right-to-left shunt and formation of a secondary cerebral abscess is a rare event. Erosion of pulmonary veins by a pulmonary abscess can lead to transcardiac septic embolism but to our knowledge no case of septic embolic ischemic stroke from a pulmonary abscess with secondary transformation into a brain abscess has been reported to date. CASE PRESENTATION: We report the case of a patient with a pulmonary abscess causing a septic embolic cerebral infarction which then transformed into a cerebral abscess. After antibiotic therapy and drainage of the abscess the patient could be rehabilitated and presented an impressive improvement of symptoms. CONCLUSION: Septic embolism should be considered as cause of ischemic stroke in patients with pulmonary abscess and can be followed by formation of a secondary cerebral abscess. Early antibiotic treatment and repeated cranial CT-scans for detection of a secondary abscess should be performed. BioMed Central 2012-11-05 /pmc/articles/PMC3517440/ /pubmed/23121862 http://dx.doi.org/10.1186/1471-2377-12-133 Text en Copyright ©2012 Albrecht et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Albrecht, Philipp Stettner, Mark Husseini, Leila Macht, Stephan Jander, Sebastian Mackenzie, Colin Oesterlee, Ulrike Slotty, Philipp Methner, Axel Hartung, Hans-Peter Aktas, Orhan An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess |
title | An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess |
title_full | An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess |
title_fullStr | An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess |
title_full_unstemmed | An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess |
title_short | An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess |
title_sort | emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517440/ https://www.ncbi.nlm.nih.gov/pubmed/23121862 http://dx.doi.org/10.1186/1471-2377-12-133 |
work_keys_str_mv | AT albrechtphilipp anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT stettnermark anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT husseinileila anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT machtstephan anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT jandersebastian anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT mackenziecolin anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT oesterleeulrike anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT slottyphilipp anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT methneraxel anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT hartunghanspeter anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT aktasorhan anemboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT albrechtphilipp emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT stettnermark emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT husseinileila emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT machtstephan emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT jandersebastian emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT mackenziecolin emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT oesterleeulrike emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT slottyphilipp emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT methneraxel emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT hartunghanspeter emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess AT aktasorhan emboligenicpulmonaryabscessleadingtoischemicstrokeandsecondarybrainabscess |