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Asymptomatic Cryptogenic Brain Abscess: A Case Report.

Raquel K Gil¹, James Yu², Guillermo Izquierdo-Pretel²

¹Medical Student, Herbert Wertheim College of Medicine, Florida International University, Miami, USA.

|August 11, 2022

Summary

This summary is machine-generated.

A rare case of a cryptogenic brain abscess was found incidentally in an immunocompetent male. Despite extensive workup, the infection source remained unidentified, highlighting diagnostic challenges.

Keywords:

alcohol use disorder asymptomatic brain abscess case report cryptogenic

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Area of Science:

Neurology
Infectious Diseases
Radiology

Background:

Brain abscesses are typically associated with neurological symptoms and a clear source of infection.
Cryptogenic brain abscesses, where the source is unknown, present diagnostic challenges.

Observation:

A 48-year-old immunocompetent male presented with alcohol intoxication and fall, incidentally found to have a solitary parieto-occipital lobe mass on computed tomography (CT).
Despite resolution of initial symptoms and no acute neurological deficits, a brain biopsy confirmed a brain abscess.
The source of infection could not be identified despite an extensive workup.

Findings:

The patient was treated with a combination of cefepime, metronidazole, and vancomycin.
A literature review revealed cases of cryptogenic brain abscesses but none that were asymptomatic.

Implications:

This case underscores the possibility of asymptomatic cryptogenic brain abscesses, challenging typical clinical presentations.
Further research is needed to understand the pathogenesis and diagnostic criteria for such rare presentations.
Highlights the importance of thorough investigation of incidental findings on neuroimaging.