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Medicine

Guess the Abnormal Finding.

By Chris Rangel MD ⋅ February 17, 2008 ⋅ Email this post Email this post ⋅ Print this post Print this post ⋅ Post a comment

This patient presented with altered mental status and fever. An MRI of the brain showed the above results. What is the next appropriate treatment or test?

Discussion

5 comments for “Guess the Abnormal Finding.”

  1. yoghas md | February 20, 2008, 11:16 am

    This is a brain abscess with mass effect moving the middle line, the patients needs surgery, for aspiration and biopsy. An optimal treatment approach has not been established. However, there is evidence that the size of the lesion and clinical and immune status of the patient are relevant to surgical decision making. Earlier biopsy of lesions to achieve specific identification and anti-microbial sensitivity profiles is suggested even in cases where an extracranial focus of infection is found.

    Nocardia asteroides cerebral abscess

    Surg Neurol;53(6):605-10, 2000 Jun.

    ps: ask for Thorax Rx

  2. Chris Rangel MD | February 23, 2008, 9:26 am

    Correct. This is also a test of placeing a picture in the most recent article section. :)

  3. Chris Rangel MD | March 15, 2008, 5:32 pm

    Another test comment.

  4. Chris Rangel MD | March 15, 2008, 9:06 pm

    “Correct. This is also a test of placeing a picture in the most recent article section.”

    What a douch.

    Oh wait.

  5. Chris Rangel MD | March 15, 2008, 9:58 pm

    “A douch”

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