Multiple brain abscesses in the territory of the vertebral-basilar artery resulting from an infected aortic arch graft

Yoshihiro Otani, Satoshi Inoue, Satoshi Kawauchi, Atsuhito Uneda, Takumi Kajitani, Kyoichi Watanabe, Kentaro Deguchi, Hideki Kiriyama, Koji Tokunaga, Kengo Matsumoto

Research output: Contribution to journalArticlepeer-review

Abstract

A 62-year-old man with high fever and in a state of disorientation was transferred to our hospital. One year before this transfer, he had undergone total arch replacement surgery for thoracic aortic dissection. On admission to our hospital, head MRI revealed multiple brain abscesses in the territory of the vertebral-basilar artery, and chest CT showed gas around the aortic graft, in particular, at the origin of the left subclavian artery. We diagnosed him with brain abscesses in the left vertebral-basilar artery resulting from an infected aortic graft. We immediately began administration of intravenous antibiotics. Although his blood, urine, and cerebrospinal fluid cultures were negative, fortunately, the brain abscesses and ectopic gas disappeared. Since reports of only antibiotic use for treating brain abscesses due to aortic graft infection are rare, the appropriate duration of antibiotic administration has not been established yet. Therefore, careful observation is required in this case.

Original languageEnglish
Pages (from-to)235-240
Number of pages6
JournalNeurological Surgery
Volume43
Issue number3
Publication statusPublished - Mar 1 2015

Keywords

  • Antibiotics
  • Aortic graft infection
  • Brain abscess

ASJC Scopus subject areas

  • General Medicine

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