Brain abscess complicating cerebral infarct.
METHODS
We report a case of a 68-year-old man who suffered ischemic strokes in the left middle cerebral artery territory and three months later, following urosepsis, developed a cerebral abscess in the infarcted area.


CONCLUSIONS
A literature search found only eight other cases. We discuss herein the common clinical aspects of brain abscess complicating strokes, the co-existent diseases, and point out the possibility of underreporting this rare but treatable complication.


CONCLUSIONS
Cerebral abscess should be suspected in patients with a previous brain infarction or haemorrhage, who develop bacteremia and impaired consciousness without a clear explanation to their condition. Advanced age, and medical conditions known adversely to affect immunological competence reinforce the clinical suspicion.
Beloosesky
Yichayaou
Y
Department of Geriatrics, Rabin Medical Center, Golda Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikva 49372, Israel. belo-7@zahan.net.il
Streifler
Jonathan Y
JY
Eynan
Nachman
N
Grinblat
Joseph
J
D000368:Aged; D001921:Brain / Q000000981:diagnostic imaging; D001922:Brain Abscess / Q000150:complications*; D002544:Cerebral Infarction / Q000209:etiology*; D006801:Humans; D008297:Male; D020768:Middle Cerebral Artery / Q000503:physiopathology; D010291:Paresis / Q000503:physiopathology; D011512:Proteus Infections / Q000175:diagnosis*; D011513:Proteus mirabilis / Q000302:isolation & purification*; D020521:Stroke / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D014552:Urinary Tract Infections / Q000150:complications