Nervous system abscess: a rare complication of diverticulitis

Kamath, Vandana; Mishra, Neha; Gunabushanam, Vikraman; Friedman, Barry; Held, D

doi:10.1111/j.1463-1318.2011.02748.x

Cited by 6 publications

(8 citation statements)

References 5 publications

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“…[23][24][25] Referring to colonic diverticulitis, there were reported a few cases of brain abscesses that were associated with it. 12,[26][27][28] In our case, the presence of colonic diverticulosis could be a plausible cause for the peripancreatic infection dissemination and may sustain the association between colonic disorders and streptococcus anginosus infection.…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of peripancreatic abscess associated with streptococcus anginosus and colonic diverticulosis

Berevoescu¹,

Bordea

Berevoescu

et al. 2019

Int Surg J

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Pancreatic abscesses are rare and usually occur as a pancreatitis complication. The absence of acute pancreatitis and the clinical presentation that mimics a neoplasm are very unexpected. A 49-year-old man, known with arterial hypertension and chronic infection with virus hepatitis B came to the hospital for weight loss, marked asthenia, nausea/vomiting and jaundice, associated with mild pain in the upper abdomen. At admission, without fever and no medical history of acute pancreatitis. Laboratory values showed an important inflammatory syndrome, near normal pancreatic enzymes and increased tumour markers. Abdominal computed tomography (CT) revealed a heterogeneous fluid collection with gas bubbles inside, localized into the lesser sac that tended to extend peri splenic, towards the anterior and posterior pararenal spaces and the pelvis. Surgery has led to evacuation of peripancreatic and left retrocolic abscesses, associated with debridement and peritoneal drainage. The culture yielded Streptococcus Anginosus. At 7 days post-intervention hemoperitoneum occurred and was required a second intervention for haemostasis. Subsequent favourable clinical and biological evolution, with patient discharge from the clinic 16 days after admission. Repeated CT scans of the abdomen showed resolution of lesions and at colonoscopy it was observed uncomplicated colonic diverticulosis. In this case is highlighted a rare presentation of a peripancreatic pyogenic abscess caused by Streptococcus anginosus, associated with colonic diverticulosis.

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Section: Discussionmentioning

confidence: 99%

Unusual presentation of peripancreatic abscess associated with streptococcus anginosus and colonic diverticulosis

Berevoescu¹,

Bordea

Berevoescu

et al. 2019

Int Surg J

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“…Central nervous system infection is a very rare complication of diverticulitis. [1][2][3][4] To our knowledge, no case of purulent ventriculitis has been reported resulting from diverticulitis.…”

Section: Discussionmentioning

confidence: 99%

“…Only two cases of S. anginosus brain abscesses resulting from diverticulitis, though not ventriculitis, have been reported in the literature. 1,3 S. intermedius has an apparent tropism for the brain and liver. 6 This characteristic can be explained by the difference of virulence factors produced by the S. anginous group species.…”

Section: Discussionmentioning

confidence: 99%

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Pyogenic Ventriculitis as Clinical Presentation of Diverticulitis

Dandurand

Létourneau

Chaalala

et al. 2016

Can. J. Neurol. Sci.

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“…Brain abscesses are most frequently seen in immunocompromised patients, patients who have had recent neurosurgery or head trauma or from direct spread of a parameningeal infection . While the overall rate of abscess formation is 7.4% in patients with acute diverticular disease the unusual manifestation of a brain abscess is remarkably rare, with only four cases previously reported in the literature . While such unusual complications of acute diverticulitis are rare, it is important to maintain cognizance of this phenomenon.…”

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confidence: 99%