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Brain abscess complicating cerebral infarct

Yichayaou Beloosesky1, Jonathan Y Streifler, Nachman Eynan

  • 1Department of Geriatrics, Rabin Medical Center, Golda Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikva 49372, Israel. belo-7@zahan.net.il

Age and Ageing
|November 26, 2002
PubMed
Abstract

Insights

Brain abscesses can rarely develop in stroke-affected areas, particularly in older patients with compromised immunity. Early suspicion is key for this treatable complication.

Area of Science:

  • Neurology
  • Infectious Diseases

Background:

  • Stroke, particularly ischemic stroke, can predispose patients to secondary complications.
  • Brain abscesses are serious infections that require prompt diagnosis and treatment.

Observation:

  • A case is presented of a 68-year-old man who developed a cerebral abscess in the area of a previous ischemic stroke.
  • This complication occurred three months after the initial stroke, following an episode of urosepsis.

Findings:

  • A literature review identified only eight previously reported cases of brain abscess complicating stroke.
  • The clinical presentation, associated conditions, and potential for underreporting of this rare complication are discussed.

Implications:

  • Cerebral abscess should be considered in patients with prior cerebrovascular events who present with unexplained bacteremia and altered mental status.
  • Factors such as advanced age and conditions impairing immune function increase suspicion for this treatable complication.

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