Document Detail

Patent foramen ovale as a risk factor for cryptogenic brain abscess: case report and review of the literature.
MedLine Citation:
PMID:  22576398     Owner:  NLM     Status:  In-Data-Review    
We encountered a patient with brain abscess presumably caused by dental infection. The patient displayed patent foramen ovale (PFO) and a giant Eustachian valve, through which spontaneous right-to-left shunt was revealed by transesophageal echocardiography. Reviewing the literature, we find additional cases where brain abscess originated from an increased amount of flora commonly found in the oral cavity that bypassed the pulmonary vascular bed and the lymphatic system through PFO. Additionally, a Eustachian valve should be considered an adjunctive risk factor for initiating a spontaneous right-to-left shunt and predisposing cryptogenic brain abscess in patients with PFO.
Yohsuke Horiuchi; Yuji Kato; Tomohisa Dembo; Hidetaka Takeda; Takuya Fukuoka; Norio Tanahashi
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Publication Detail:
Type:  Journal Article     Date:  2012-04-29
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  51     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1111-4     Citation Subset:  IM    
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University, Japan.
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