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BMC Neurol. 2012 Nov 5;12:133. doi: 10.1186/1471-2377-12-133.

An emboligenic pulmonary abscess leading to ischemic stroke and secondary brain abscess.

Author information

1
Department of Neurology, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany. phil.albrecht@gmail.com

Abstract

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.

PMID:
23121862
PMCID:
PMC3517440
DOI:
10.1186/1471-2377-12-133
[Indexed for MEDLINE]
Free PMC Article

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