Brain abscess. Case report

Abstract

Introduction: brain abscess, characterized by focal suppurative collections of the brain parenchyma, constitutes a global health problem due to its high morbidity and mortality and economic burden for the health system.

Clinical case: It is a case of a 35-year-old woman, who the last trimester of pregnancy had right suppurative otitis media without treatment. During the mediate puerperium, the patient had an intense headache and self-medicated oral analgesics without improvement. The woman goes to the hospital, where a Computerized Axial Tomography (CT) was made, it reports two hypodense lesions, encapsulated in the temporal lobe, surrounded by vasogenic edema with post-contrast ring enhancement; In Nuclear Magnetic Resonance (NMR), the two collections restrict the diffusion sequence with a drop in the Apparent Diffusion Coefficient (ADC) signal. A broad spectrum antibiotic and immediate surgical drainage with placement of an external drain are started. It has a favorable evolution.

Conclusion: brain abscess is life threatening, its prognosis depends on timely diagnosis. The severe ear infection contributed to the development of this pathology, being a rare cause in adults.