Multiple Brain Abscesses: An Unusual Case

Brain abscess is a collection of pus with a vascular capsule beginning as a cerebritis at its early stage. The incidence rate of brain abscess is approximately ۰.۱۳-۰.۹ per ۱۰۰,۰۰۰ person-year. In ۳۳% of cases, brain abscess is spread hematogenously, mostly with endocarditis (۱۳%), pulmonary infection (۸%), or dental infection (۵%). Other cases are attributed to recent neurosurgeries (۹%) or cranial traumas (۱۴%). Streptococcus and Staphylococcus species are the most common microorganisms causing brain abscesses. The symptoms presented include headache, fever, nausea, vomiting, focal neurologic symptoms, lethargy, and seizure. In this study, a ۴۴-year-old coal worker methadone-abuser man who was admitted with the presentation of altered mental status, headache, imbalance, and vertigo with widespread ring-enhancing lesions in his brain caused by multiple brain abscesses due to solitary lung abscess without pulmonary disease symptoms is reported. Altered consciousness and dysphagia were considered as a cause for his aspiration.

کلیدواژه ها:

Multiple brain abscesses ، Hematogenous spread ، Confusional state ، Ring enhancing lesion