Solitary pyogenic brainstem abscess

Solitary pyogenic brainstem abscess

An 8-year-old young boy, a known case of tricuspid atresia (TA) type 1, ventricular septal defect (VSD), and pulmonary stenosis, presented with high-grade fever and occipital headache for the past 7 days. Hypoxia, metabolic acidosis, and compensatory polycythemia in cyanotic heart disease cause micr...

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Veröffentlicht in:Neurology India 2016-05, Vol.64 (3), p.572-574
Hauptverfasser: Ramdasi, Raghvendra, Patil, Manoj, Muzumdar, Dattatraya
Format: Artikel
Sprache:eng
Schlagworte:
Antibiotics
Brain Abscess
Brain cancer
Cardiovascular disease
Care and treatment
Conflicts of interest
Diagnosis
Edema
Encephalitis
Humans
Metastasis
NMR
Nuclear magnetic resonance
Pediatrics
Spectrum analysis
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Zusammenfassung:An 8-year-old young boy, a known case of tricuspid atresia (TA) type 1, ventricular septal defect (VSD), and pulmonary stenosis, presented with high-grade fever and occipital headache for the past 7 days. Hypoxia, metabolic acidosis, and compensatory polycythemia in cyanotic heart disease cause microinfarcts in the brain providing a milieu for growth of these bacteria. Thick irregular ring enhancement, elevated choline, and decreased N-acetyl aspartate on spectroscopy with raised relative cerebral blood volume (rCBV) on dynamic contrast imaging are the characteristics of GBM.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.181544