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CASE REPORT
Year : 2013  |  Volume : 3  |  Issue : 1  |  Page : 66-69

Unusual presentation of brain tumor with intratumoral abscess formation


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
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Source of Support: None, Conflict of Interest: None


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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