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

作者：Albrecht Philipp^*; Stettner Mark; Husseini Leila; Macht Stephan; Jander Sebastian; Mackenzie Colin; Oesterlee Ulrike; Slotty Philipp; Methner Axel; Hartung Hans Peter; Aktas Orhan

来源：BMC Neurology, 2012, 12: 133.

DOI：10.1186/1471-2377-12-133

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. %26lt;br%26gt;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. %26lt;br%26gt;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.

• 出版日期2012-11-5