Brain Abscess as A Complication of Chronic Thromboembolic Pulmonary Hypertension – A Rare Case Report
Published: September 1, 2013 | DOI: https://doi.org/10.7860/JCDR/2013/.3396
Lakshmi K, Santhanam R, Chitralekha S
1. Assistant Professor, Department of Microbiology, Sree Balaji Medical College and Hospital, Chennai, India.
2. Associate Professor, Department of Neurosurgery, Sree Balaji Medical College and Hospital, Chennai, India.
3. Professor, Department of Microbiology, Sree Balaji Medical College and Hospital, Chennai, India.
Correspondence
Dr. Santhanam R,
Associate Professor, Department of Neurosurgery, Sree Balaji Medical College and Hospital,
No 7, CLC Works Road, Chromepet, Chennai – 600044, Tamil nadu, India.
Phone: 9445349440, E-mail: drsanthanam79@yahoo.co.in
A brain abscess is a life threatening condition which can occur as a complication of various clinical conditions. An intra–cerebral abscess which occurs as a complication of pulmonary arterial hypertension is extremely rare. The present report has described such an uncommon case of an intra–cerebral abscess in a chronic pulmonary thrombo embolism patient with pulmonary hypertension. A–34–year old male who was a known case of chronic pulmonary thrombo embolism with pulmonary artery hypertension, who was diagnosed 6 months back, presented to the Out Patients Department (OPD) with headache and vomiting. He had right homonymous hemianopia. Contrast MRI (Magnetic Resonance Imaging) of brain showed a peripherally enhancing lesion in the left temporo-occipital lobe, with oedema and a mass effect. Left parieto–occipital craniotomy and excision of the abscess was done. Staphylococcus aureus was isolated from the aspirated pus.
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