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Diseases » Brain abscess » Causes
 

Causes of Brain abscess

List of causes of Brain abscess

Following is a list of causes or underlying conditions (see also Misdiagnosis of underlying causes of Brain abscess) that could possibly cause Brain abscess includes:

More causes: see full list of causes for Brain abscess

Brain abscess Causes: Book Excerpts

Brain abscess as a complication of other conditions:

Other conditions that might have Brain abscess as a complication may, potentially, be an underlying cause of Brain abscess. Our database lists the following as having Brain abscess as a complication of that condition:

Brain abscess as a symptom:

Conditions listing Brain abscess as a symptom may also be potential underlying causes of Brain abscess. Our database lists the following as having Brain abscess as a symptom of that condition:

Related information on causes of Brain abscess:

As with all medical conditions, there may be many causal factors. Further relevant information on causes of Brain abscess may be found in:

Causes of Brain abscess: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the causes of Brain abscess.

Brain abscess: Causes
(Handbook of Diseases)

A brain abscess usually occurs secondary to some other infection, especially otitis media, sinusitis, dental abscess, and mastoiditis. Other causes include subdural empyema; bacterial endocarditis; human immunodeficiency virus infection; bacteremia; pulmonary or pleural infection; pelvic, abdominal, and skin infections; and cranial trauma, such as a penetrating head wound or compound skull fracture.

This condition also occurs in about 2% of children with congenital heart disease, possibly because the hypoxic brain is a good culture medium for bacteria. Common infecting organisms are pyogenic bacteria, such as Staphylococcus aureus and Streptococcus viridans. Penetrating head trauma or bacteremia usually leads to staphylococcal infection; pulmonary disease, to streptococcal infection. In up to 25% of patients, an original source isn’t discovered.

Pathophysiology

A brain abscess usually begins with localized inflammatory necrosis and edema, septic thrombosis of vessels, and suppurative encephalitis. This is followed by thick encapsulation of accumulated pus, and adjacent meningeal infiltration by neutrophils, lymphocytes, and plasma cells. Increasing pressure in the brain results in more damage.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Brain Abscess: Brain Abscess - risk factors
(The 5-Minute Pediatric Consult)

  • Cyanotic congenital heart disease
  • Otorhinolaryngologic infections such as sinusitis, mastoiditis, and chronic otitis media
  • Meningitis (especially with neonates)
  • Penetrating head trauma
  • Surgical manipulation of the brain (ventriculoperitoneal shunts, tumor removal)
  • Esophageal manipulation (sclerotherapy or dilation)
  • Cystic fibrosis
  • Dental infections
  • Lung infections
  • Any site of infection (osteomyelitis, orbital, cellulitis, urinary tract infections)
  • Patients who have traveled to endemic areas with neurocysticercosis (Latin America, parts of Africa, Asia, and the Indian subcontinent)
  • Congenital or acquired immunocompromised patients
  • No definitive etiology occurs in 30% of patients.

Brain Abscess - pathophysiology

  • Micro-organisms enter the brain parenchyma by contiguous or hematogenous (metastasis) pathways.
  • Location of brain abscesses:
    • Cyanotic congenital heart disease patients tend to have abscesses within the middle meningeal artery distribution: Frontal, parietal, and temporal lobes.
    • Frontal abscesses are commonly seen with sinus and dental infections.
    • Temporal, parietal, or cerebellar abscesses tend to occur with mastoid or otitis media infections.
    • Brain abscesses can occur anywhere in the brain parenchyma, regardless of a predisposing risk factor, secondary to hematogenous metastasis.

Brain Abscess - etiology

  • Bacteria are the most common causes.
  • Streptococcus spp. and Staphylococcus spp. are the most commonly cultured microorganisms.
  • Neonates may develop abscesses after a Gram-negative meningitis (Proteus, Citrobacter, and Enterobacter).
  • A single organism is found in ~70% of patients.
  • Anaerobic organisms are being found with increasing incidence with improved laboratory and culture techniques. Common pathogens are Bacteroides, Peptostreptococcus, Fusobacterium, Propionibacterium, Actinomyces, Veillonella, and Prevotella.
  • No growth of a pathogen occurs in 30% of specimens.
  • Parasitic infections are often caused by Taenia solium (neurocysticercosis).
  • Fungi and protozoa are commonly found in immunocompromised patients.

» READ BOOK EXCERPT ONLINE »

Source: The 5-Minute Pediatric Consult, 2008


 » Next page: Symptoms of Brain abscess

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