Brain abscess history and symptoms: Difference between revisions
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==History== | ==History== | ||
Obtaining the history is the most important aspect of making a diagnosis of a brain abscess. A complete history will help determine the correct therapy and helps in determining the prognosis. Specific areas of focus when obtaining a history from the patient include: | Obtaining the history is the most important aspect of making a diagnosis of a brain abscess. A complete history will help determine the correct therapy and helps in determining the prognosis. Specific areas of focus when obtaining a history from the patient include:<ref> Brain Abscess. Wikipedia (2015). https://en.wikipedia.org/wiki/Brain_abscess#Signs_and_symptoms Accessed on October 7, 2015</ref><ref name="pmid25075836">{{cite journal| author=Brouwer MC, Tunkel AR, McKhann GM, van de Beek D| title=Brain abscess. | journal=N Engl J Med | year= 2014 | volume= 371 | issue= 5 | pages= 447-56 | pmid=25075836 | doi=10.1056/NEJMra1301635 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25075836 }} </ref> | ||
* History of a clinical triad of fever, headaches, and focal neurological deficits. | * History of a clinical triad of fever, headaches, and focal neurological deficits. | ||
*[[Immunosuppression]] | *[[Immunosuppression]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Symptoms of brain abscess may develop slowly, over a period of 2 weeks, or they may develop suddenly. The most common symptoms include fever, headache, and other neurological problems such as hemiparesis or aphasia.[1]
History
Obtaining the history is the most important aspect of making a diagnosis of a brain abscess. A complete history will help determine the correct therapy and helps in determining the prognosis. Specific areas of focus when obtaining a history from the patient include:[2][3]
- History of a clinical triad of fever, headaches, and focal neurological deficits.
- Immunosuppression
Symptoms
Common symptoms of brain abscess include:[4][5]
- Confusion
- Decreased movement
- Decreased sensation
- Decreasing responsiveness
- Drowsiness
- Fever and chills
- Headache
- Inattention
- Irritability
- Loss of coordination and muscle function
- Nausea
- Seizures
- Visual disturbance
- Vomiting
References
- ↑ Brouwer, MC; Coutinho, JM; van de Beek, D (Mar 4, 2014). "Clinical characteristics and outcome of brain abscess: systematic review and meta-analysis.". Neurology 82 (9): 806–13. doi:10.1212/WNL.0000000000000172. PMID 24477107
- ↑ Brain Abscess. Wikipedia (2015). https://en.wikipedia.org/wiki/Brain_abscess#Signs_and_symptoms Accessed on October 7, 2015
- ↑ Brouwer MC, Tunkel AR, McKhann GM, van de Beek D (2014). "Brain abscess". N Engl J Med. 371 (5): 447–56. doi:10.1056/NEJMra1301635. PMID 25075836.
- ↑ Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.
- ↑ Nath A. Brain abscess and parameningeal infections. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 438.