Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review

We report a case of 50-year-old man with a severe acute ischemic stroke followed by intracerebral hemorrhage and brain abscess due to systemic infection. His initial intracranial radiographic findings were normal but three days later MRI scan of the brain revealed well-defined rounded cystic lesion...

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Main Authors: Jama A. Mohamud, Jingtao Wu, Ye Jing, Yu Wang
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2018/4602352
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author Jama A. Mohamud
Jingtao Wu
Ye Jing
Yu Wang
author_facet Jama A. Mohamud
Jingtao Wu
Ye Jing
Yu Wang
author_sort Jama A. Mohamud
collection DOAJ
description We report a case of 50-year-old man with a severe acute ischemic stroke followed by intracerebral hemorrhage and brain abscess due to systemic infection. His initial intracranial radiographic findings were normal but three days later MRI scan of the brain revealed well-defined rounded cystic lesion on the T2-weighted and T1-weighted images in the right basal ganglia; the lesion presented an area of diffusion restriction on DWI; lately the lesion was confirmed to be an early stage of cerebral abscess. A week later the patient was noted to have worsening neurological status and left extremity weakness, and emergency brain CT scan revealed massive intracerebral hemorrhage in the right occipital lobe; he underwent intracranial hematoma evacuation surgery. The hematoma was removed successfully, and the systemic infections were treated with antibiotics.
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institution Kabale University
issn 2090-6862
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language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Radiology
spelling doaj-art-be9d4ea5039640b7a4d84548e52451e42025-02-03T01:12:19ZengWileyCase Reports in Radiology2090-68622090-68702018-01-01201810.1155/2018/46023524602352Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature ReviewJama A. Mohamud0Jingtao Wu1Ye Jing2Yu Wang3Department of Medical Imaging, Subei People’s Hospital of Jiangsu Province, Medical College of Yangzhou University, Yangzhou, ChinaDepartment of Medical Imaging, Subei People’s Hospital of Jiangsu Province, Yangzhou University, Yangzhou, ChinaDepartment of Medical Imaging, Subei People’s Hospital of Jiangsu Province, Yangzhou University, Yangzhou, ChinaDepartment of Neurology, Subei People’s Hospital of Jiangsu Province, Dalian Medical University, Dalian, Liaoning Province, ChinaWe report a case of 50-year-old man with a severe acute ischemic stroke followed by intracerebral hemorrhage and brain abscess due to systemic infection. His initial intracranial radiographic findings were normal but three days later MRI scan of the brain revealed well-defined rounded cystic lesion on the T2-weighted and T1-weighted images in the right basal ganglia; the lesion presented an area of diffusion restriction on DWI; lately the lesion was confirmed to be an early stage of cerebral abscess. A week later the patient was noted to have worsening neurological status and left extremity weakness, and emergency brain CT scan revealed massive intracerebral hemorrhage in the right occipital lobe; he underwent intracranial hematoma evacuation surgery. The hematoma was removed successfully, and the systemic infections were treated with antibiotics.http://dx.doi.org/10.1155/2018/4602352
spellingShingle Jama A. Mohamud
Jingtao Wu
Ye Jing
Yu Wang
Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review
Case Reports in Radiology
title Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review
title_full Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review
title_fullStr Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review
title_full_unstemmed Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review
title_short Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review
title_sort septic embolic stroke followed by hemorrhage and brain abscess in a patient with systemic infections a case report and literature review
url http://dx.doi.org/10.1155/2018/4602352
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AT yejing septicembolicstrokefollowedbyhemorrhageandbrainabscessinapatientwithsystemicinfectionsacasereportandliteraturereview
AT yuwang septicembolicstrokefollowedbyhemorrhageandbrainabscessinapatientwithsystemicinfectionsacasereportandliteraturereview