Batol Patricia Anne I, Villaraza Steven G
Department of Neurology, Jose R. Reyes Memorial Medical Center, Manila, PHL.
Cureus. 2025 Apr 21;17(4):e82744. doi: 10.7759/cureus.82744. eCollection 2025 Apr.
Hemorrhagic pyogenic cerebral abscesses are a rare clinical entity that can present diagnostic challenges and lead to treatment delays. We report a case of a 46-year-old female who initially presented with a sudden onset of focal neurological deficits, raising a suspicion of a cerebrovascular etiology. Further diagnostic workup revealed a hemorrhagic pyogenic brain abscess. The patient was managed successfully with a conservative approach, receiving medical treatment after declining surgical intervention, and was discharged with only minimal neurological residuals. Although hemorrhagic pyogenic brain abscesses are uncommon, maintaining a high index of suspicion, supported by comprehensive history taking and targeted diagnostic testing, is imperative for early detection and effective management to mitigate potential morbidity and mortality.
出血性化脓性脑脓肿是一种罕见的临床病症，会带来诊断挑战并导致治疗延误。我们报告一例46岁女性病例，该患者最初表现为突发局灶性神经功能缺损，引发了脑血管病因的怀疑。进一步的诊断检查发现了出血性化脓性脑脓肿。患者通过保守方法成功治疗，在拒绝手术干预后接受药物治疗，出院时仅有轻微神经功能残留。尽管出血性化脓性脑脓肿并不常见，但通过全面的病史采集和针对性的诊断测试来保持高度的怀疑指数，对于早期发现和有效管理以减轻潜在的发病率和死亡率至关重要。
