Abscessos cerebrais múltiplos após apendicectomia: relato de caso

Schops, Michele; Gondim, Jackson

doi:10.1590/S0004-282X1996000200025

Resumos

Paciente masculino de 39 anos, com quadro de abdomen agudo de evolução de 72 horas, foi submetido a apendicectomia. Desenvolveu 14 dias após, quadro de cefaléia, vômitos, afasia, torpor, hemiplegia à direita e rigidez de nuca. A tomografia computadorizada craniana mostrou múltiplos abscessos cerebrais supra tentoriais bilateralmente. Após punção aspirativa do maior deles foi instituída antibióticoterapia resultando em cura do paciente.

apendicectomia; abscesso cerebral

A 39 years old male patient with a 72 hours evolution of acute abdominal syndrome was submitted to appendicectomy. Fourteen days later he developed headache, vomiting, aphasia, torpor, nuchal stiffness and right hemiplegia. A CT-scan showed multiple brain abscesses on both hemispheres. After aspirative puncture of the largest one, antibiotic treatment was established with total recovery of the patient.

appendicectomy; brain abscess

Abscessos cerebrais múltiplos após apendicectomia: relato de caso

Multiple brain abscesses following appendicectomy: case report

Michele Schops; Jackson Gondim

Instituto de Neurologia de Fortaleza

RESUMO

Paciente masculino de 39 anos, com quadro de abdomen agudo de evolução de 72 horas, foi submetido a apendicectomia. Desenvolveu 14 dias após, quadro de cefaléia, vômitos, afasia, torpor, hemiplegia à direita e rigidez de nuca. A tomografia computadorizada craniana mostrou múltiplos abscessos cerebrais supra tentoriais bilateralmente. Após punção aspirativa do maior deles foi instituída antibióticoterapia resultando em cura do paciente.

Palavras-chave:apendicectomia, abscesso cerebral.

ABSTRACT

A 39 years old male patient with a 72 hours evolution of acute abdominal syndrome was submitted to appendicectomy. Fourteen days later he developed headache, vomiting, aphasia, torpor, nuchal stiffness and right hemiplegia. A CT-scan showed multiple brain abscesses on both hemispheres. After aspirative puncture of the largest one, antibiotic treatment was established with total recovery of the patient.

Key words:appendicectomy, brain abscess.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 10-janeiro-1996

Dr. Jackson Gondim - Rua Pereira Filgueiras 1805 - 60160-150 Fortaleza CE - Brasil.

1. Artero J, Honrado L, Estrada L, Bailon J, Sanchez J, Yague L. Abscesso cerebral tras sepsis post apendicectomia a propósito de um caso.An Esp Pediatr 1991;35:137-139.
2. Beneson A. Controle das doenças transmissíveis no homem. Mexico: OPS Publicação 442,1983;277-278.
3. Bhatra R, Tandon P, Baneyi A, Prakash B. Brain abscesses and congenital heart disease. Am J Surg 1987;154:631-635.
4. Bissagnene E, Bazeze V, Varlet M, Kakou M, Guede A, Beugre K. Approche médico chirurgicale des suppurations intracraniennes à germe pyogenes a Abdijam: analyse de 250 observations cliniques. Neurochirurgie 1994;40:301-306.
5. Bonnal J, Descuns P, Duplay J, Winniger J. Les abcès encéphaliques d'origine métastatique.Marseille Méd 1964;64:997-1005.
6. Cheng D, Liu Y.Yen M, Liu C. Wang R. Septic metastatic lesions of pyogenic liver abscess: their association with Klebsiella pneumonie bacteremia in diabetic patients. Arch Intern Med 1991;151:1557-1559.
7. Garcin M, Magnan J. Abcès encéphaliques. E.M.C. Otorhinolaryngologic 1952;12,20160 AI0.
8. Gardner E, Gray D, O'Rahilly R. Anatomia. Ed 3. Rio de Janeiro: Guanabara Koogan, 1971:414-417, 441-444.
9. Hardjasudarma M, Willis B, Payne C.B, Edwards R. Pediatric spinal blastomycosis: case report. Neurosurgery 1995;37:534-536
10. Hoppe U, Kaemmerer H, Sanger B, Sechtem U. Brain abscess in congenital cyanotic heart defect in adulthood. ZKardiol 1993;82:708-711.
11. Leahy W, Toyka. K, Fischbeck K. Cerebral abscess in children secondary to esophageal dilation. Pediatrics 1977;59:300-301.
12. Leigh P, Saron I. Pyogenic liver abscess following appendicitis. S Afr J Surg 1971;9:147-153.
13. Mamelak A, Mamapalan T, Obana W, Rosenblum M. Improved management of multiple brain abscesses: a combined surgical and medical approach. Neurosurgery 1995;36:76-86.
14. McCornick M, Heydenrych J, Le Roux J. Hemiplegia: an unusual complication of appendicectomy. S Afr Med 1987;71:790-791.
15. Ochsner A. Pyogenic abscess of the liver. Am J Surg 1938;40:292-319.
16. Piper C, Horstkotte D, Arendt G, Strauer B. Brain abscess in patients with cyanotic heart defects.Z Kardiol 1994;83:188-193.
17. Schwartz S. Princípios de cirurgia Ed 2. Rio de Janeiro: Guanabara Koogan 1976; 1194-1204.
18. Stringel G. Appendicitis in children: a systematic approach for a low incidence of complications. Am J Surg 1987;154:631-635.

Datas de Publicação

Publicação nesta coleção
06 Dez 2010
Data do Fascículo
Jun 1996

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Artero J, Honrado L, Estrada L, Bailon J, Sanchez J, Yague L. Abscesso cerebral tras sepsis post apendicectomia a propósito de um caso.An Esp Pediatr 1991;35:137-139.

[2] 2. Beneson A. Controle das doenças transmissíveis no homem. Mexico: OPS Publicação 442,1983;277-278.

[3] 3. Bhatra R, Tandon P, Baneyi A, Prakash B. Brain abscesses and congenital heart disease. Am J Surg 1987;154:631-635.

[4] 4. Bissagnene E, Bazeze V, Varlet M, Kakou M, Guede A, Beugre K. Approche médico chirurgicale des suppurations intracraniennes à germe pyogenes a Abdijam: analyse de 250 observations cliniques. Neurochirurgie 1994;40:301-306.

[5] 5. Bonnal J, Descuns P, Duplay J, Winniger J. Les abcès encéphaliques d'origine métastatique.Marseille Méd 1964;64:997-1005.

[6] 6. Cheng D, Liu Y.Yen M, Liu C. Wang R. Septic metastatic lesions of pyogenic liver abscess: their association with Klebsiella pneumonie bacteremia in diabetic patients. Arch Intern Med 1991;151:1557-1559.

[7] 7. Garcin M, Magnan J. Abcès encéphaliques. E.M.C. Otorhinolaryngologic 1952;12,20160 AI0.

[8] 8. Gardner E, Gray D, O'Rahilly R. Anatomia. Ed 3. Rio de Janeiro: Guanabara Koogan, 1971:414-417, 441-444.

[9] 9. Hardjasudarma M, Willis B, Payne C.B, Edwards R. Pediatric spinal blastomycosis: case report. Neurosurgery 1995;37:534-536

[10] 10. Hoppe U, Kaemmerer H, Sanger B, Sechtem U. Brain abscess in congenital cyanotic heart defect in adulthood. ZKardiol 1993;82:708-711.

[11] 11. Leahy W, Toyka. K, Fischbeck K. Cerebral abscess in children secondary to esophageal dilation. Pediatrics 1977;59:300-301.

[12] 12. Leigh P, Saron I. Pyogenic liver abscess following appendicitis. S Afr J Surg 1971;9:147-153.

[13] 13. Mamelak A, Mamapalan T, Obana W, Rosenblum M. Improved management of multiple brain abscesses: a combined surgical and medical approach. Neurosurgery 1995;36:76-86.

[14] 14. McCornick M, Heydenrych J, Le Roux J. Hemiplegia: an unusual complication of appendicectomy. S Afr Med 1987;71:790-791.

[15] 15. Ochsner A. Pyogenic abscess of the liver. Am J Surg 1938;40:292-319.

[16] 16. Piper C, Horstkotte D, Arendt G, Strauer B. Brain abscess in patients with cyanotic heart defects.Z Kardiol 1994;83:188-193.

[17] 17. Schwartz S. Princípios de cirurgia Ed 2. Rio de Janeiro: Guanabara Koogan 1976; 1194-1204.

[18] 18. Stringel G. Appendicitis in children: a systematic approach for a low incidence of complications. Am J Surg 1987;154:631-635.