Brain Abscess Secondary to an Apparently Benign Transorbital Injury: An Infrequent Case Report with Literature Review
Abstract
:1. Introduction
2. Case Description
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Reference | Patient Information | Foreign Body and Its Path | Abscess Occur | ||
---|---|---|---|---|---|
Y | G | Anamnestic Data | |||
Maruya et al. [3] | 56 | F | TOPI while hiking on mountain | Bamboo grove (left upper eyelid) | 2 weeks a.i. |
Hiraishi et al. [31] | 14 | F | TOPI |
Plastic chopstick (left upper eyelid) | 9 years a.i. |
Kuromi et al. [13] | 37 | M | TOPI |
Bamboo fragments (trough cavernous sinus to FCP) | 30 years a.i. |
Abdulrazeq et al. [16] | 40 | TF |
Superior, lateral, medial, and inferior orbital due vehicle accident | None detected | 2 months a.i. |
Abdulbaki et al. [15] | 5 | M | TOPI due to fall | Pen (right upper eyelid to orbital roof) | 4 or 5 days |
Seider et al. [17] | 1 | M | Stabbed in right upper eyelid | Pen with graphite tip (right upper eyelid) | 3 weeks a.i. |
Aulino et al. [19] | 35 | M | A blow to the left orbit with a billiard cue stick 16 years previous | Fiberglass or wood | 16 days a.i. |
Santoreneos et al. [20] | 12 | M | Orbito-cranial injury while riding a motorbike | Branch of tree (right lower eyelid) | 10 days a.i. postop |
Rahman et al. [32] | 30 | M | TOPI due nail hammering | Nail (superior orbital fissure) | meningitis a.i. |
Potapov et al. [33] | 26 | M | TOPI after motocycle crashed into tree | Branch of tree (medial orbital wall) | 2 months a.i. |
Di Roio et al. [18] | 6 | M | TOPI and closure of interventricular anastomosis 6 years before; Down syndrome | Chopstick (orbital roof) | 10 days a.i. |
Amano et al. [14] | 7 | M | TOPI after jumping from garage (2 m) | Bamboo grove (eyelid) | 10 months a.i. |
Bečulić et al. [This study] | 57 | M | TOPI | Wooden twig | 1 month a.i. |
Reference | Bacterial Cause | Laboratory | Radiological findings | ||
Maruya et al. [3] | none isolated | WBC and CRP increased | CT: cerebral contusion and free bone fragments in temporal lobe) | ||
Hiraishi et al. [31] | unknown a | Unknown a | CT: two ring-enhancing masses in right temporal lobe | ||
Kuromi et al. [13] | unknown a | Unknown a | MRI: two ring-enhanced lesions in cerebellum | ||
Abdulrazeq et al. [16] | Streptococcus intermedius | CRP and erythrocyte sedimentation rate elevated | MRI: right frontal heterogeneous collection | ||
Abdulbaki et al. [15] | none isolated | w/o leukocytosis | CT: a bordered formation around metal tip of pen | ||
Seider et al. [17] | Alpha-hemolytic streptococci | Nothing reported | CT: large extraconal multiloculated orbito-cerebral abscess | ||
Aulino et al. [19] | nothing reported | Unremarkable | MR: multilocular intraparenchymal abscesses in left temporal lobe | ||
Santoreneos et al. [20] | Enterobacter agglomerans (2 biotypes) | Nothing reported | Initial CT: fracture of medial orbital wall 2nd CT: a ring enhancing lesion of the right temporal lobe 3rd CT: slight decrease in size of the abscess | ||
Rahman et al. [32] | nothing reported | Nothing reported | X-ray: bent nail in the orbit and middle cranial fossa CT: nail lodged in orbital cavity and temporal lobe | ||
Potapov et al. [33] | nothing reported | Nothing reported | CT: a bordered formation in right temporal lobe | ||
Di Roio et al. [18] | nothing reported | WBC increased in blood and CSF with glycorrhachia | CT: hypodense mass occupying the left frontal lobe | ||
Amano et al. [14] | Escherihia coli | Nothing reported | CT: cerebellar abscess | ||
Bečulić et al. [This study] | none isolated | Unremarkable | MRI: expansive intracerebral process in the right frontal lobe | ||
Reference | Treatment | Outcome | |||
Antibiotics | Surgical | ||||
Maruya et al. [3] | 5 days of oral antibiotics (unknown), 3 days of antibiotic (unknown) solution irrigation | Stereotaxic aspiration with drainage tube for antibiotic solution irrigation | Abscess reduction; left eye had a slight lateral gaze limitation | ||
Hiraishi et al. [31] | 4-week course of antibiotics (unknown a) |
Fronto-temporal decompressive craniectomy and stereotactic aspiration; removal of foreign body | Discharged with slight hyposmia | ||
Kuromi et al. [13] | Unknown a | Endoscopic aproach, drainage | Left blindness, oculomotor palsy, trigeminal nerve anesthesia, and ataxia | ||
Abdulrazeq et al. [16] | Ceftriaxone for 6 weeks | Open surgery due multiple fractures | 3 months after: oedema and abscess resolution | ||
Abdulbaki et al. [15] | Vancomycin, ceftazidime, and metronidazole for 3 weeks | Transcutaneous upper eyelid surgery | 2 months after: CT showed abscess resolution. Mild right eyelid ptosis. | ||
Seider et al. [17] | Ceftriaxone and metronidazole for 6 weeks | Drainage through a frontal burr hole for 1 week | 1 mm of right upper eyelid ptosis after 10 months | ||
Aulino et al. [19] | Nothing reported | Surgical excision | Full recovery | ||
Santoreneos et al. [20] | Gentamicin (replaced by cefotaxime due to toxicity), penicillin and metronidazole | Elective extirpation of abscess cavity after 3rd CT | Full recovery | ||
Rahman et al. [32] | Ceftriaxone and metronidazole | Craniotomy and early meningitis noticed | Right side blindness due eyeball penetration | ||
Potapov et al. [33] | Cefotaxime, metronidazole and amikacin | Craniotomy, sphenoid bone resection, pus aspiration and irrigation (antiseptic solution) | Mucocele in frontal sinus 6 months later | ||
Di Roio et al. [18] | Initially amoxicillin, then josamycin and cefaclor (10 days), due to worsening ceftriaxone, fosfomycin and metronidazole administred (4 weeks). At home: oral amoxicillin and clindamycin (4 weeks) | Abscess puncture | Abscess resolution 2 months after surgery | ||
Amano et al. [14] | Systematic antibiotics administred (unknown) | None | Reduction in abscess | ||
Bečulić et al. [This study] | Meropenem for 5 weeks | Abscess drainage | Full recovery |
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Bečulić, H.; Begagić, E.; Skomorac, R.; Jusić, A.; Selimović, E.; Čejvan, L.; Pojskić, M. Brain Abscess Secondary to an Apparently Benign Transorbital Injury: An Infrequent Case Report with Literature Review. Anatomia 2023, 2, 243-252. https://doi.org/10.3390/anatomia2030022
Bečulić H, Begagić E, Skomorac R, Jusić A, Selimović E, Čejvan L, Pojskić M. Brain Abscess Secondary to an Apparently Benign Transorbital Injury: An Infrequent Case Report with Literature Review. Anatomia. 2023; 2(3):243-252. https://doi.org/10.3390/anatomia2030022
Chicago/Turabian StyleBečulić, Hakija, Emir Begagić, Rasim Skomorac, Aldin Jusić, Edin Selimović, Lejla Čejvan, and Mirza Pojskić. 2023. "Brain Abscess Secondary to an Apparently Benign Transorbital Injury: An Infrequent Case Report with Literature Review" Anatomia 2, no. 3: 243-252. https://doi.org/10.3390/anatomia2030022
APA StyleBečulić, H., Begagić, E., Skomorac, R., Jusić, A., Selimović, E., Čejvan, L., & Pojskić, M. (2023). Brain Abscess Secondary to an Apparently Benign Transorbital Injury: An Infrequent Case Report with Literature Review. Anatomia, 2(3), 243-252. https://doi.org/10.3390/anatomia2030022