Medicina Interna: Acesso Aberto
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Multiple Brain Abscesses Caused by Streptococcus intermedius: Prognostic Index of Mortality

Spyridon-Gerasimos Moschonas*, Theodoras Katsikas and Stylianos Drimis

The aim of this paper is to show the correlation between the imaging features of brain abscess in a patient with multiple brain abscesses and the possible outcome of the disease by using a point-grading system. For this purpose we will review a real clinical case, admitted and investigated in our clinic, we will describe the radiological features from the imaging studies done (contrast enhanced CT and MRI) and with the use of a grading scale according to those features a sum of points will be gathered, which refers to an anticipated outcome for the patient. We will examine the value of the score, deriving from the point sum, as a prognostic index of mortality based on the score that this patient had and his actual clinical outcome and whether this outcome was indeed anticipated. In addition there is an epidemiological value of this case report as the brain abscesses were cryptogenic regarding etiology and the causative agent was Streptococcus intermedius.