Unusual presentation and outcomes of bilateral brain abscess in adult: a case report

Abdulsalam Mohammed Aleid; Ahmed Badr Shehata; Mohammed Hijji Alaethan; Hassan Ali Aldawood; Ali Abdulhadi AlQurayn; Ibrahim Hussain Alahmed

doi:10.24911/IJMDC.51-1680877160

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Case Report

Online Publishing Date:
14 / 05 / 2023

IJMDC. 2023; 7(9): 1266-1268

doi: 10.24911/IJMDC.51-1680877160

Unusual presentation and outcomes of bilateral brain abscess in adult: a case report

Abdulsalam Mohammed Aleid, Ahmed Badr Shehata, Mohammed Hijji Alaethan, Hassan Ali Aldawood, Ali Abdulhadi AlQurayn, Ibrahim Hussain Alahmed.

Abstract
Background: Brain abscesses are rare but serious infections caused by bacteria or fungi in the brain tissue. They can cause serious problems if not treated quickly, so it is important to find the problem and treat it as soon as possible.
Case Presentation: A 46-year-old Saudi male heavy smoker presented to the emergency department with a 3-day history of dry cough, sore throat, subjective fever, malaise, and generalized body pain. Three pneumonia hospitalizations and a bronchoscopy confused the patient upon admission. The patient had a Glasgow Coma Scale of 14/15 and a mild right pronator drift. Brain imaging showed bilateral frontal intra-axial space-occupying lesions. Escherichia coli and Staphylococcus aureus, sensitive to amoxicillin and clavulanic acid, grew together in culture. At 1-month follow-up, the patient had fully recovered. Peripheral enhancement reduced abscess cavity size on a repeat computed tomography-brain. The patient showed no neurological deficits at his 3- and 6-month clinic visits. Long-term antibiotics were recommended for 6 months.
Conclusion: A 46-year-old Saudi man with bilateral brain abscesses shows the importance of early diagnosis and treatment. Imaging and culture results helped diagnose and treat. Aspirating the cystic lesions and the patient’s recovery prove the treatment’s efficacy.

Key words: Neurological infections, bilateral brain abscess, Escherichia coli, Staphylococcus aureus, neurosurgery, stereotactic aspiration.

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Pubmed Style

Aleid AM, Shehata AB, Alaethan MH, Aldawood HA, AlQurayn AA, Alahmed IH. Unusual presentation and outcomes of bilateral brain abscess in adult: a case report. IJMDC. 2023; 7(9): 1266-1268. doi:10.24911/IJMDC.51-1680877160

Web Style

Aleid AM, Shehata AB, Alaethan MH, Aldawood HA, AlQurayn AA, Alahmed IH. Unusual presentation and outcomes of bilateral brain abscess in adult: a case report. https://www.ijmdc.com/?mno=148835 [Access: May 10, 2024]. doi:10.24911/IJMDC.51-1680877160

AMA (American Medical Association) Style

Aleid AM, Shehata AB, Alaethan MH, Aldawood HA, AlQurayn AA, Alahmed IH. Unusual presentation and outcomes of bilateral brain abscess in adult: a case report. IJMDC. 2023; 7(9): 1266-1268. doi:10.24911/IJMDC.51-1680877160

Vancouver/ICMJE Style

Aleid AM, Shehata AB, Alaethan MH, Aldawood HA, AlQurayn AA, Alahmed IH. Unusual presentation and outcomes of bilateral brain abscess in adult: a case report. IJMDC. (2023), [cited May 10, 2024]; 7(9): 1266-1268. doi:10.24911/IJMDC.51-1680877160

Harvard Style

Aleid, A. M., Shehata, . A. B., Alaethan, . M. H., Aldawood, . H. A., AlQurayn, . A. A. & Alahmed, . I. H. (2023) Unusual presentation and outcomes of bilateral brain abscess in adult: a case report. IJMDC, 7 (9), 1266-1268. doi:10.24911/IJMDC.51-1680877160

Turabian Style

Aleid, Abdulsalam Mohammed, Ahmed Badr Shehata, Mohammed Hijji Alaethan, Hassan Ali Aldawood, Ali Abdulhadi AlQurayn, and Ibrahim Hussain Alahmed. 2023. Unusual presentation and outcomes of bilateral brain abscess in adult: a case report. International Journal of Medicine in Developing Countries, 7 (9), 1266-1268. doi:10.24911/IJMDC.51-1680877160

Chicago Style

Aleid, Abdulsalam Mohammed, Ahmed Badr Shehata, Mohammed Hijji Alaethan, Hassan Ali Aldawood, Ali Abdulhadi AlQurayn, and Ibrahim Hussain Alahmed. "Unusual presentation and outcomes of bilateral brain abscess in adult: a case report." International Journal of Medicine in Developing Countries 7 (2023), 1266-1268. doi:10.24911/IJMDC.51-1680877160

MLA (The Modern Language Association) Style

Aleid, Abdulsalam Mohammed, Ahmed Badr Shehata, Mohammed Hijji Alaethan, Hassan Ali Aldawood, Ali Abdulhadi AlQurayn, and Ibrahim Hussain Alahmed. "Unusual presentation and outcomes of bilateral brain abscess in adult: a case report." International Journal of Medicine in Developing Countries 7.9 (2023), 1266-1268. Print. doi:10.24911/IJMDC.51-1680877160

APA (American Psychological Association) Style

Aleid, A. M., Shehata, . A. B., Alaethan, . M. H., Aldawood, . H. A., AlQurayn, . A. A. & Alahmed, . I. H. (2023) Unusual presentation and outcomes of bilateral brain abscess in adult: a case report. International Journal of Medicine in Developing Countries, 7 (9), 1266-1268. doi:10.24911/IJMDC.51-1680877160

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