Document Detail

Multiple brain abscesses in a patient with bilateral pulmonary arteriovenous malformations and immunoglobulin deficiency.
MedLine Citation:
PMID:  14612606     Owner:  NLM     Status:  MEDLINE    
A 34 year old Chinese man presented with grand mal seizures complicating multiple brain abscesses caused by mixed oral flora. Because of persistent hypoxaemia contrast spiral thoracic computed tomography was done, which revealed bilateral pulmonary arteriovenous malformations (PAVMs). Concomitant IgA and IgG subclass deficiency was also found. The combination of these two conditions appears to have predisposed this patient to presumably paradoxical septic embolism. The patient's cerebral condition responded to postoperative antibiotic treatment and he eventually received selective coil embolisation of right lower lobe PAVMs, which relieved his hypoxaemia and dyspnoea.
K-C Tse; G C Ooi; A Wu; P L Ho; S K Ip; M H Jim; Y M Lam; Y W Fan; W K Tso; K W Tsang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  79     ISSN:  0032-5473     ISO Abbreviation:  Postgrad Med J     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-11-12     Completed Date:  2004-02-24     Revised Date:  2009-10-22    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  597-9     Citation Subset:  IM    
Department of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
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MeSH Terms
Anoxia / etiology,  therapy
Arteriovenous Malformations / complications*,  diagnosis,  therapy
Brain Abscess / complications*,  diagnosis
Dyspnea / etiology,  therapy
Embolization, Therapeutic / methods
IgA Deficiency / complications*
IgG Deficiency / complications*
Magnetic Resonance Angiography / methods
Pulmonary Artery / abnormalities*
Tomography, X-Ray Computed / methods

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