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Age and Ageing 2002; 31: 477-480
© 2002, British Geriatrics Society

Case Report

Brain abscess complicating cerebral infarct

Yichayaou Beloosesky1, Jonathan Y. Streifler2, Nachman Eynan3 and Joseph Grinblat1,4

1 Department of Geriatrics,
2 Neurology Unit, Rabin Medical Center, Golda Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikva 49372, Israel
3 Department of Neurosurgery, Rabin Medical Center, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikva, Israel
4 Beit Rivka Geriatric Rehabilitation Hospital, Sackler School of Medicine, Tel Aviv University, Petach Tikva, Israel

Presentation: we report a case of a 68-year-old man who suffered ischemic strokes in the left middle cerebral artery territory and three months later, following urosepsis, developed a cerebral abscess in the infarcted area.

Discussion: a literature search found only eight other cases. We discuss herein the common clinical aspects of brain abscess complicating strokes, the co-existent diseases, and point out the possibility of underreporting this rare but treatable complication.

Conclusion: cerebral abscess should be suspected in patients with a previous brain infarction or haemorrhage, who develop bacteremia and impaired consciousness without a clear explanation to their condition. Advanced age, and medical conditions known adversely to affect immunological competence reinforce the clinical suspicion.

Keywords: brain abscess, ischemic stroke, complication


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