MULTIPLE CEREBRALMASS LESIONS IN AYOUNG PATIENT – ABSCESSES OF UNKNOWN ORIGIN
Abstract:
We present the case of an 18-year old patient, formerly with unknown illness, who is brought
to the emergency department for a state of altered consciousness, right hemiparesis and frontal
headache. The symptoms started a week before the day of admission. On arrival, the patient had fever,
an altered state of consciousness, positive meningeal irritation signs, right hemiparesis and bilateral
Babinski’s sign. The emergency cerebral tomography showed two lesions: left frontal and left temporal
hypodense masses with peripheral contrast enhancement and surrounding edema and the biological
markers showed an inflammatory response. HIV testing was negative. The histological samples showed
inflammatory reaction, while the Gram stain of the collection showed Gram positive diplococcus
bacteria. Conclusion: The primary cause of the multiple abscesses remained uncertain.
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