TY - JOUR
T1 - Unsuspected polymicrobial brain abscess arising from an intra-abdominal source in a patient with hereditary hemorrhagic telangiectasia
AU - Diaz, Melina
AU - Cuellar, Jose
AU - Valencia-Rey, Paula A.
AU - Fisher, John Fremont
PY - 2010/8/1
Y1 - 2010/8/1
N2 - 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.
AB - 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.
KW - brain abscess
KW - Candida guilliermondii
KW - hereditary hemorrhagic telangiectasia
KW - Osler-Weber-Rendu
KW - pulmonary arteriovascular malformations
UR - http://www.scopus.com/inward/record.url?scp=77955469754&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77955469754&partnerID=8YFLogxK
U2 - 10.1097/SMJ.0b013e3181e6d16e
DO - 10.1097/SMJ.0b013e3181e6d16e
M3 - Article
C2 - 20622729
AN - SCOPUS:77955469754
SN - 0038-4348
VL - 103
SP - 842
EP - 844
JO - Southern Medical Journal
JF - Southern Medical Journal
IS - 8
ER -