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Brain abscess, the path to diagnosis. Case report

By
Ganchozo Arévalo Ronald Andrés ,

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Angelo Andy Magallanes Bajaña ,
Angelo Andy Magallanes Bajaña

CS Santa Lucía. Ecuador

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Geovanna Paola Jaramillo Calderón ,
Geovanna Paola Jaramillo Calderón

Universidad Católica de Santiago de Guayaquil. Ecuador

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Isis Micaela Zambrano Gilces ,
Isis Micaela Zambrano Gilces

Hospital General Monte Sinaí. Ecuador

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Karla Andreina Calvas Torres ,
Karla Andreina Calvas Torres

Hospital Julius Doepfner Zamora. Ecuador

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Carlos Roberto Asencio Portugal ,
Carlos Roberto Asencio Portugal

Hospital del niño Francisco Icaza Bustamante. Ecuador

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Abstract

Brain abscess is a focal infection of the central nervous system (CNS), in which there are areas of localized cerebritis and central necrosis, surrounded by a well vascularized capsule. We present a 19-year-old case, with orobuccal and more recent cutaneous history, which starts with neurological symptoms. He is evaluated with laboratory tests and lumbar puncture without elucidating the etiology. Complementary neuroimaging tests were performed showing supratentorial lesions compatible with brain abscess. A sample was taken and the histopathological result determined infection by Staphylococcus Aureus. The patient was treated with antibiotic therapy, steroids and anticonvulsants with an immediate favorable evolution. He remains in controls. Brain abscess is a life-threatening disease that requires multidisciplinary management to achieve a timely diagnosis and management. Clinical manifestations are usually nonspecific, so the identification of the entity depends on neuroimaging studies and in case of infection, the diagnosis may require biopsy. Finally, treatment associates medical management with antibiotic therapy and neurosurgical intervention for drainage.

 

How to Cite

1.
Ganchozo Arévalo RA, Magallanes Bajaña AA, Jaramillo Calderón GP, Zambrano Gilces IM, Calvas Torres KA, Asencio Portugal CR. Brain abscess, the path to diagnosis. Case report. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet]. 2024 Apr. 30 [cited 2024 May 21];3:725. Available from: https://conferencias.saludcyt.ar/index.php/sctconf/article/view/725

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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