Delayed brain abscess related to a retained foreign body with culture of Clostridium bifermentans

Case report

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✓ Although it is well documented that retained foreign bodies are associated with delayed intracranial abscess, there are few reports of anaerobic organism growth. A case is presented in which a left parieto-occipital abscess surrounded a metallic fragment implanted when a mortar shell exploded in Vietnam 15 years before. The diagnostic evaluation and surgical management of this case are presented.

Article Information

Address reprint requests to: Kim J. Burchiel, M.D., Neurosurgery Section, Seattle Veterans Administrative Medical Center, Seattle, Washington 98108.

© AANS, except where prohibited by US copyright law.

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Figures

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    Lateral (left) and anteroposterior (right) skull x-ray films showing location of a metallic fragment in the left parietal region.

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    Computerized tomography scans after injection of contrast medium showing left frontal encephalomalacia and a ring-enhancing mass in the left parieto-occipital region.

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