Document Detail

Cerebral abscesses due to Pseudomonas pseudomallei.
MedLine Citation:
PMID:  1284675     Owner:  NLM     Status:  MEDLINE    
Two cases of cerebral abscesses caused by Pseudomonas pseudomallei are reported. The first case, a 51-year-old women had a sudden onset of progressive right hemiparesis and right facial palsy and died within 7 days. Postmortem examination disclosed brain abscess in association with disseminated infection outside the central nervous system. The second case, a 9-year-old boy displayed cerebral abscesses as an isolated manifestation. Recovery occurred after treatment with ceftazidime. Review of the ten case reports of cerebral melioidosis revealed that the lesion occurred in patients of all ages and was more common in men than in women. The frontoparietal lobe was the most common location. Fever, headache, and hemiparesis were frequent clinical manifestations while seizures, ataxia were uncommon. CT scanning, serum antibody titer along with hemoculture were useful investigate tools. The importance of early diagnosis and prompt treatment is emphasized for this fatal but treatable disease.
V Kasantikul; S Lerdlum; N Suwanwela
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  75     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1993-06-28     Completed Date:  1993-06-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  THAILAND    
Other Details:
Languages:  eng     Pagination:  536-41     Citation Subset:  IM    
Department of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Brain Abscess / drug therapy,  microbiology*
Burkholderia pseudomallei / isolation & purification*
Melioidosis / drug therapy,  microbiology*
Middle Aged
Reg. No./Substance:
0/Anti-Bacterial Agents

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