Agarwal Ritika, Raju Sharath B, Kalegowda Anand
Radiology, M. S. Ramaiah Medical College, Bengaluru, IND.
Cureus. 2024 Sep 3;16(9):e68592. doi: 10.7759/cureus.68592. eCollection 2024 Sep.
Brain abscesses in patients with congenital heart disease (CHD), particularly cyanotic CHD, present significant morbidity and mortality risks. While is a known neonatal meningitis pathogen, its involvement in adult intracranial abscesses is rare. This report details a 36-year-old female with an uncorrected ventricular septal defect (VSD) and Eisenmenger syndrome, presenting with neurological symptoms. Imaging identified a left cerebral hemisphere ring-enhancing lesion indicative of a brain abscess, and stereotactic aspiration confirmed as the pathogen. Treatment with antibiotics resulted in substantial clinical improvement. This case highlights the rarity of brain abscesses in adults and emphasizes the necessity for early diagnosis and precise microbiological identification to guide effective treatment strategies.
先天性心脏病（CHD）患者，尤其是青紫型CHD患者，发生脑脓肿会带来显著的发病和死亡风险。虽然[病原体名称]是已知的新生儿脑膜炎病原体，但其在成人颅内脓肿中的感染情况罕见。本报告详细介绍了一名36岁女性，患有未经矫正的室间隔缺损（VSD）和艾森曼格综合征，出现了神经系统症状。影像学检查发现左脑半球有环形强化病变，提示为脑脓肿，立体定向穿刺确诊[病原体名称]为病原体。抗生素治疗使临床症状有了显著改善。该病例凸显了成人脑脓肿的罕见性，并强调了早期诊断和精确微生物鉴定以指导有效治疗策略的必要性。
