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Published on: February 29, 2020
Cerebellar brain abscess associated with tongue piercing
Richard A Martinello1, Elizabeth L Cooney
1Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520, USA. richard.martinello@yale.edu
Abstract:
We describe a previously healthy adult who had a solitary cerebellar brain abscess diagnosed. This infection occurred 4 weeks after the patient underwent a tongue piercing procedure that was complicated by an apparent local infection. The clinical history, abscess culture results, and lack of an alternative explanation suggest that infection of the tongue piercing site was the source of the cerebellar abscess.
Insights
A tongue piercing infection led to a rare cerebellar brain abscess in a healthy adult. This case highlights the potential risks of oral piercings and the importance of monitoring local infections.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Brain abscesses are rare but serious infections.
- Oral piercings are increasingly common, presenting potential risks.
- Cerebellar abscesses are particularly uncommon locations for such infections.
Observation:
- A previously healthy adult developed a solitary cerebellar abscess.
- The abscess was diagnosed four weeks after a tongue piercing procedure.
- The tongue piercing site had an apparent local infection.
Findings:
- Cultures from the abscess identified the causative pathogen.
- The clinical timeline and infection source strongly implicated the tongue piercing.
- No other potential sources for the infection were identified.
Implications:
- This case suggests a potential link between tongue piercings and brain abscesses.
- Healthcare providers should consider oral piercings as a potential source of infection.
- Prompt recognition and management of local infections after oral piercing are crucial to prevent severe complications.
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