Brucella melitensis (BM) is a rare respiratory pathogen. The lungs are usually affected in the subacute and chronic course of the disease, when pleurisy, empyema, hilar adenopathy, pneumonia and lung abscess have been described. We present a patient with BM haemorrhagic pleural effusion, with low pH, low glucose and positive pleural fluid cultures. Brucellosis should be considered in the differ...

Pyogenic brain abscess are one of the commonest intracranial pathology that is encountered in a rural neurosurgical practice. The surgical treatment for abscess involves burrhole aspiration or excision of the abscess wall. Deep seated brain abscess like the one in basal ganglia are rare and pose clinical, imaging and surgical challenge. CT guided stereotactic aspiration of the brain abscess is ...

A 46-year-old woman presented with an 8-month history of fever, lumbar pain, and a slowly growing right paravertebral mass. She reported regular consumption of unpasteurized goat cheese. The physical examination revealed a fluctuant right paravertebral mass and marked pain on palpation over the lumbar spine at the L3-L4 level. A computed tomography (CT) scan of the spine revealed erosions of th...

Brain abscess is a life-threatening infection caused by spread from infected parameningeal or remote foci. Historically, streptococci have been the predominant organisms reported while brain abscess metastatic from liver abscess caused by Klebsiella pneumoniae has been a more recent emerging problem. This study retrospectively analyzed the characteristics of community-acquired brain abscess adm...

Background and Purpose. In pyogenic brain abscess, hemorrhage in the walls is considered exceptional. Recently, hemorrhagic changes in the walls of pyogenic abscess have been demonstrated on susceptibility weighted imaging with 3T MRI. Here, we report hemorrhagic changes in the walls of pyogenic brain abscess on susceptibility weighted imaging with 1.5T MRI. Method. MRI of brain was done using ...

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In the setting of HIV, cerebral lesions are usually secondary to lymphoma and opportunistic infections; however, in patients with CD4 counts above 200 cells/uL, other pathologies such as pyogenic brain abscess could gain importance. The microbiology of pyogenic brain abscess has Staphylococcus and Streptococcus as the leading etiologic pathogens in immunocompetent individuals. Peptostreptococcu...