Unusual presentation of a case of brain abscess after endoscopic injection sclerotherapy of esophageal varices.
Although an increasing number and variety of complications of endoscopic injection sclerotherapy (EIS) of bleeding esophageal varices have been reported, infectious complications are rare. A case of brain abscess following EIS is reported which was characterised by an unusual clinical presentation in that there was no fever or leucocytosis. This presentation could have led to the abscesses being mistaken for brain metastases. The outcome of antimicrobial therapy was favorable which provided further evidence in support of the diagnosis.
Robert
J Y
JY
Department of Hepato-Gastroenterology, Centre Hospitalier Universitaire, Pontchaillou, Rennes, France.
Raoul
J L
JL
Bretagne
J F
JF
Denjean
P
P
Heresbach
D
D
Siproudhis
L
L
Gosselin
M
M
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D003937:Diagnosis, Differential; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D004945:Esophagoscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000009:adverse effects; D012597:Sclerosing Solutions / Q000009:adverse effects; D015911:Sclerotherapy / Q000009:adverse effects* / Q000379:methods; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D012597:Sclerosing Solutions; D000077423:Polidocanol; D011092:Polyethylene Glycols