CASE REPORT |
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Year : 2013 | Volume
: 3
| Issue : 1 | Page : 66-69 |
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Unusual presentation of brain tumor with intratumoral abscess formation
Suryapratap Singh1, Saranjeet Singh2, Akheel Mohammad3, Javeed Hussain3
1 Department of Neurosurgery, NMCH, Nellore, A.P., India 2 Department of Neurology, NMCH, Nellore, A.P., India 3 Department of Maxillo-facial Surgery, NMCH, Nellore, A.P., India
Correspondence Address:
Suryapratap Singh Department of Traumatology and Neurosurgery, NMCH, Nellore, Andhra Pradesh India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/2278-9596.117138
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Abcess within a brain tumor is very rare and is usually seen in a pituitary tumor. We present a patient with glioblatoma that was found to contain abcess at operation. A 50-year-old man presented with a rare case of glioblastoma associated with intra-tumoral abscess formation manifesting as seizures, headache and vomiting after fever, cough, and chest infection. Computed tomography and magnetic resonance imaging demonstrated a ring-enhanced lesion mimicking malignant glioma. Craniotomy and tumor removal were performed. Abscess formation within the intra-axial tumor was found intra-operatively. Histological examination revealed glioblastoma with abscess and the etiological agent was anaerobic gram-negative bacilli. The post-operative recovery of the patient was satisfactory. Abcess in a gliobastoma is uncommon. The suspected route of microbial migration and colonization in this tumor was probably bacteremia from chronic lung infection. Careful evaluation and appropriate treatment would lead to a good outcome. |
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