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Multiple Brain Abscesses Associated With Tongue Piercing

Multiple Brain Abscesses Associated With Tongue Piercing IMAGES IN NEUROLOGY Multiple Brain Abscesses Associated With Tongue Piercing PREVIOUSLY HEALTHY22-YEAR-OLD MAN WAS reports of tongue, dental, and oral infection after pierc- 2 3 referred to our institution by another hos- ing. In addition, several cases of endocarditis and 1 case pitalbecauseofhighfever,drowsiness,and of a cerebellar abscess associated with tongue piercing have multiple ring-enhancing lesions on brain been previously reported. A computed tomography (CT). Medical his- The lack of predisposing conditions, the inability of an tory was unremarkable, except for a tongue piercing the extensive clinical and laboratory workup to find a primary patient had gotten 2 weeks earlier. On hospital admission, focus of infection, and, finally, the isolation of oral micro- global aphasia and right hemiplegia were found. His tem- bial flora from the aspirated brain cultures makes the hy- perature was 39°C, and his white blood cell count showed pothesis of hematogenous dissemination starting with leukocytosis with a left shift. The patient was given em- tongue piercing especially reasonable. pirical antibiotic treatment. Magnetic resonance imaging Moshe Yoel Herskovitz, MD of the brain revealed 13 ring enhancement lesions with Dorit Goldsher, MD surrounding edema, with focal bleeding in some of them Renato Finkelstein, MD (Figure). Results of an http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

Multiple Brain Abscesses Associated With Tongue Piercing

Abstract

IMAGES IN NEUROLOGY Multiple Brain Abscesses Associated With Tongue Piercing PREVIOUSLY HEALTHY22-YEAR-OLD MAN WAS reports of tongue, dental, and oral infection after pierc- 2 3 referred to our institution by another hos- ing. In addition, several cases of endocarditis and 1 case pitalbecauseofhighfever,drowsiness,and of a cerebellar abscess associated with tongue piercing have multiple ring-enhancing lesions on brain been previously reported. A computed tomography (CT). Medical his- The lack...
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Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/archneurol.2009.204
pmid
19822789
Publisher site
See Article on Publisher Site

Abstract

IMAGES IN NEUROLOGY Multiple Brain Abscesses Associated With Tongue Piercing PREVIOUSLY HEALTHY22-YEAR-OLD MAN WAS reports of tongue, dental, and oral infection after pierc- 2 3 referred to our institution by another hos- ing. In addition, several cases of endocarditis and 1 case pitalbecauseofhighfever,drowsiness,and of a cerebellar abscess associated with tongue piercing have multiple ring-enhancing lesions on brain been previously reported. A computed tomography (CT). Medical his- The lack of predisposing conditions, the inability of an tory was unremarkable, except for a tongue piercing the extensive clinical and laboratory workup to find a primary patient had gotten 2 weeks earlier. On hospital admission, focus of infection, and, finally, the isolation of oral micro- global aphasia and right hemiplegia were found. His tem- bial flora from the aspirated brain cultures makes the hy- perature was 39°C, and his white blood cell count showed pothesis of hematogenous dissemination starting with leukocytosis with a left shift. The patient was given em- tongue piercing especially reasonable. pirical antibiotic treatment. Magnetic resonance imaging Moshe Yoel Herskovitz, MD of the brain revealed 13 ring enhancement lesions with Dorit Goldsher, MD surrounding edema, with focal bleeding in some of them Renato Finkelstein, MD (Figure). Results of an

Journal

JAMA NeurologyAmerican Medical Association

Published: Oct 1, 2009

References