Unsuspected polymicrobial brain abscess arising from an intra-abdominal source in a patient with hereditary hemorrhagic telangiectasia

Melina Diaz, Jose Cuellar, Paula A. Valencia-Rey, John Fremont Fisher

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

The unusual and unprecedented occurrence of a patient with hereditary hemorrhagic telangiectasia (HHT) and a polymicrobial abscess with three different organisms, including fungi, is reported. The patient was a 48-year-old woman with human immunodeficiency virus (HIV) infection and HHT who was brought to the hospital after a motor vehicle accident with altered mental status. Computed tomography did not reveal evidence of acute brain injury but showed a left frontal brain abscess. The patient underwent neurosurgical drainage of the abscess. On culture the abscess yielded methicillin-resistant Staphylococcus aureus, Streptococcus intermedius, and Candida guilliermondii.

Original languageEnglish (US)
Pages (from-to)842-844
Number of pages3
JournalSouthern Medical Journal
Volume103
Issue number8
DOIs
StatePublished - Aug 1 2010

Keywords

  • brain abscess
  • Candida guilliermondii
  • hereditary hemorrhagic telangiectasia
  • Osler-Weber-Rendu
  • pulmonary arteriovascular malformations

ASJC Scopus subject areas

  • Medicine(all)

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