ArticleSurgical neurology international2026
Early secondary brain abscess formation caused by
Article in Surgical neurology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Brain abscess formation at the site of intracerebral hemorrhage (ICH) is extremely rare, particularly in association with anaerobic pathogens, such as Case Description: An 86-year-old woman presented with right parieto-occipital ICH accompanied by systemic inflammatory signs. Abdominal computed tomography performed at admission revealed findings consistent with sigmoid diverticulitis. Despite initial conservative management, the patient developed bacterial meningitis due to Conclusion: This case suggests that hematogenous dissemination from an intra-abdominal infection may seed injured brain tissue in the early phase after hemorrhage. Disruption of the blood-brain barrier and the relatively avascular, anaerobic environment of a hematoma may predispose patients to abscess formation. In patients with ICH, persistent fever and progressive neurological deterioration despite antimicrobial therapy should prompt consideration of contrast-enhanced neuroimaging to evaluate possible intracranial infectious complications.
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