|
| | Case 1 | Case 2 | Case 3 |
|
| Age | 40 | 24 | 51 |
|
| Gender | F | F | M |
|
| Occupation | Housewife | Amanuensis | Worker of pottery |
|
| Comorbidities | Systemic sclerosis with
Raynaud’s syndrome
(pulmonary tuberculosis, Herpes zoster, inactive) | Systemic lupus erythematosus | Bronchial asthma, pneumoconiosis, pulmonary tuberculosis, inactive, pseudomembrane colitis,
colon adenocarcinoma |
|
| Immunosuppression agent | Steroids | Steroids | Steroids |
|
| Initial symptoms and signs | Fever;
unsteady gait | Right facial spasm with dull pain;
slurred speech;
afebrile leukocytosis | Fever with leukocytosis;
quadriplegia;
seizure attacks |
|
| Abscess number | Multiple | Multiple | Multiple |
|
| Abscess size (in the largest diameter, mm) | 10 | 30 | 30 |
|
| Abscess progression | Yes | Yes | Yes |
|
| Abscess localization | L, F, P | B, T, O | B, T, F, P |
|
| Following treatment | Change to second-line antibiotics | Change to second-line antibiotics;
stereotaxic aspiration;
craniotomy | Refused craniotomy |
|
| 3-month outcome | Right hemiplegia | Homonymous hemianopia;
alexia | Death |
|
| 1-year outcome | Death | Homonymous hemianopia;
alexia | Death |
|
| Other sites involved | Nil | Nil | Nil |
|
|
aDuration from symptoms onset to diagnosis (day) | 14 | 7 | 38 |
|
| Antibiotics for abscesses | Oxacillin; ceftriaxone; imipenem;
sulfamethoxazole/trimethoprim | Sulfamethoxazole/trimethoprim;
meropenem trihydrate;
amikacin | Sulfamethoxazole/trimethoprim |
|
| Duration of antibiotics use (day) | 75 | 294 | 4 |
|
| Surgical intervention | Craniotomy with guided sonography for the aspiration of the abscesses | Craniotomy with guided sonography for the aspiration of the abscesses | Stereotaxic aspiration |
|
