Thiankhaw Kitti, Wantaneeyawong Chayasak, Madla Chakri
Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, 110, Inthawaroros Road, Sriphum, Chiang Mai, 50200, Thailand.
Division of Neuro Imaging and Interventional Radiology, Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Radiol Case Rep. 2021 Dec 28;17(3):676-679. doi: 10.1016/j.radcr.2021.12.008. eCollection 2022 Mar.
This report aims to describe a characteristic neuroimaging of brain abscess in predisposed patients. A 56-year-old man presented with fever and headache for 3 weeks. Cerebrospinal fluid (CSF) revealed pleocytosis with lymphocytosis, high protein, and low glucose. Both hemoculture and CSF culture yielded Another case is a 23-year-old woman with systemic lupus erythematosus, who presented with fever, headache and left hemiparesis. CSF showed pleocytosis with polymorphonuclear cells predominance and low glucose. Hemoculture positive for Their MRI brain revealed conglomerate ring and tract-like enhancement lesions at the right parietotemporal lobe. The patients were diagnosed with brain abscess. They received a high dose of ceftriaxone and ampicillin for 6 weeks. The clinical and MRI at the end of treatment was a substantial improvement. Our information can help the physician concern about this pathogen in patients who presented with brain abscess and had these MRI findings.
本报告旨在描述易感患者脑脓肿的特征性神经影像学表现。一名56岁男性，发热、头痛3周。脑脊液（CSF）显示淋巴细胞增多的细胞增多症、高蛋白和低糖。血培养和脑脊液培养均有结果。另一例是一名23岁患有系统性红斑狼疮的女性，她出现发热、头痛和左侧偏瘫。脑脊液显示以多形核细胞为主的细胞增多症和低糖。血培养阳性。他们的脑部MRI显示右侧顶颞叶有聚集性环形和条索状强化病变。患者被诊断为脑脓肿。他们接受了高剂量的头孢曲松和氨苄西林治疗6周。治疗结束时的临床症状和MRI有显著改善。我们的信息可以帮助医生关注那些出现脑脓肿并伴有这些MRI表现的患者中的这种病原体。
