[Cerebral abscess as first manifestation of a familial pulmonary arteriovenous fistula].
Pulmonary arteriovenous fistula in a 63-year-old woman with no relevant medical history presented with neurological symptoms secondary to multiple polymicrobial abscesses. As a result of this finding, relatives were examined under suspicion of the presence of systemic angiomatosis (hemorrhagic hereditary telangiectasia or Rendu-Osler-Weber disease), which is asymptomatic in many victims. Follow-up and early diagnosis is crucial to preventing severe neurological complications by treatment of arteriovenous malformations and antibiotic prophylaxis during dental or other invasive procedures.
Fuentes Pradera
M A
MA
Servicio de Neumología, Hospital Universitario Virgen del Rocío, Sevilla.
Otero Candelera
R
R
Ortega Ruiz
F
F
Franco
E
E
D001164:Arteriovenous Fistula / Q000150:complications* / Q000235:genetics; D001922:Brain Abscess / Q000209:etiology* / Q000382:microbiology; D005192:Family Health; D005260:Female; D006801:Humans; D008875:Middle Aged; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000175:diagnosis