Cerebral abscess

Case contributed by Dr Ian Bickle

Presentation

Headache and dizziness. Fever on and off for 1 month. Facial asymmetry.

Patient Data

Age: 45 years
Gender: Male
CT

Large thin walled rim enhancing lesion centred on the left basal ganglia with mild surrounding oedema.

This is effacing the frontal horn of the left lateral ventricle and diencephalon.

Mild temporal horn dilatation.

Case Discussion

This patients clinical findings along with CT brain were in keeping with a cerebral abscess.

He underwent image guided surgery - 50mls of frank pus was aspirated and the abscess cavity dissected.

Culture and sensitivity was positive for Klebsiella pneumoniae.

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Case information

rID: 55464
Case created: 7th Sep 2017
Last edited: 9th Sep 2017
Inclusion in quiz mode: Included

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