Double cerebral abscess with Stenotrophomonas Maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosis

The patient, 35 years old, left-handed, admitted for mixed aphasia, left hemiparesis, temporal-spatial disorientation, later stupor, symptoms appeared for about 24 hours and progressively intensified. Cranial CT scan with contrast and lung with contrast revealed 2 brain abscesses, one large frontal...

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Main Authors: D. Balasa, Al. Tunas, I. Rusu, F. N’Sour, C. Okonkwo, A. Marin
Format: Article
Language:English
Published: London Academic Publishing 2024-12-01
Series:Romanian Neurosurgery
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Online Access:http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2893
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author D. Balasa
Al. Tunas
I. Rusu
F. N’Sour
C. Okonkwo
A. Marin
author_facet D. Balasa
Al. Tunas
I. Rusu
F. N’Sour
C. Okonkwo
A. Marin
author_sort D. Balasa
collection DOAJ
description The patient, 35 years old, left-handed, admitted for mixed aphasia, left hemiparesis, temporal-spatial disorientation, later stupor, symptoms appeared for about 24 hours and progressively intensified. Cranial CT scan with contrast and lung with contrast revealed 2 brain abscesses, one large frontal abscess on the right (54/51/47 mm) extended subcortically to the wall of the lateral ventricle and right parietal (32/26/22 mm). Right mediobasal corticalized lung abscess 47/51/28 mm. Toraco-pulmonary CT scan revealed millimetric pulmonary microlesions (some calcified), predominantly in the right upper lobe and a right parietal abscess 47/51/28 mm. The patient underwent emergency surgery (Right frontal craniotomy, subtotal excision of the abscess under magnification, right parietal craniotomy, excision of the abscess under magnification). Along with the surgical treatment, antibiotic treatment was administered according to the antibiogram administered iv and in aerosols, neurotropics, Vitamins B1, B6, anticoagulant treatment for venous thrombosis.
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institution Kabale University
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publishDate 2024-12-01
publisher London Academic Publishing
record_format Article
series Romanian Neurosurgery
spelling doaj-art-721fb47641614023af8ed456fb038a572025-01-04T15:59:33ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592024-12-01384Double cerebral abscess with Stenotrophomonas Maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosisD. BalasaAl. TunasI. RusuF. N’SourC. OkonkwoA. Marin The patient, 35 years old, left-handed, admitted for mixed aphasia, left hemiparesis, temporal-spatial disorientation, later stupor, symptoms appeared for about 24 hours and progressively intensified. Cranial CT scan with contrast and lung with contrast revealed 2 brain abscesses, one large frontal abscess on the right (54/51/47 mm) extended subcortically to the wall of the lateral ventricle and right parietal (32/26/22 mm). Right mediobasal corticalized lung abscess 47/51/28 mm. Toraco-pulmonary CT scan revealed millimetric pulmonary microlesions (some calcified), predominantly in the right upper lobe and a right parietal abscess 47/51/28 mm. The patient underwent emergency surgery (Right frontal craniotomy, subtotal excision of the abscess under magnification, right parietal craniotomy, excision of the abscess under magnification). Along with the surgical treatment, antibiotic treatment was administered according to the antibiogram administered iv and in aerosols, neurotropics, Vitamins B1, B6, anticoagulant treatment for venous thrombosis. http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2893brain abscessstenotrophomonas maltophilia
spellingShingle D. Balasa
Al. Tunas
I. Rusu
F. N’Sour
C. Okonkwo
A. Marin
Double cerebral abscess with Stenotrophomonas Maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosis
Romanian Neurosurgery
brain abscess
stenotrophomonas maltophilia
title Double cerebral abscess with Stenotrophomonas Maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosis
title_full Double cerebral abscess with Stenotrophomonas Maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosis
title_fullStr Double cerebral abscess with Stenotrophomonas Maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosis
title_full_unstemmed Double cerebral abscess with Stenotrophomonas Maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosis
title_short Double cerebral abscess with Stenotrophomonas Maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosis
title_sort double cerebral abscess with stenotrophomonas maltophilia secondary to pulmonary abscess and with septic sigmoid sinus and jugular vein thrombosis
topic brain abscess
stenotrophomonas maltophilia
url http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2893
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