Not just a ‘simple stroke’ | Zendy

Wendy Russell | Zendy; William F. Taylor | Zendy; Gautamanada Ray | Zendy; Jane Gravil | Zendy; Sylvia Davidson | Zendy

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Not just a ‘simple stroke’

Author(s) -

Wendy Russell,

William F. Taylor,

Gautamanada Ray,

Jane Gravil,

Sylvia Davidson

Publication year - 2011

Publication title -

acute medicine journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.14

H-Index - 12

eISSN - 1747-4892

pISSN - 1747-4884

DOI - 10.52964/amja.0459

Subject(s) - medicine , brain abscess , abscess , craniotomy , streptococcus milleri , weakness , stroke (engine) , surgery , lesion , empyema , lung abscess , radiology , lung , streptococcus , engineering , mechanical engineering , biology , bacteria , genetics

A 51-year-old man presenting with left arm weakness and slurred speech was referred to the acute medical team. Admission chest X-ray showed a cavitating lesion, which had not been present 2 weeks earlier. Systemic enquiry elicited a 2 month prodromal illness and back pain. Urgent CT of his head and chest revealed evidence of thoracic discitis spreading anteriorly into a pleural-based lung abscess and an intracerebral abscess causing his neurological deficit. He was transferred for urgent craniotomy and evacuation of a Streptococcus milleri abscess. Following several weeks of neurosurgical care and antibiotics he made a near full recovery.

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