Brain Tumor Research and Treatment

  • 제6권2호
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  • Pages.92-96
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  • 2018
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  • 2288-2405(pISSN)
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  • 2288-2413(eISSN)
대한뇌종양학회 (The Korean Brain Tumor Society)
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DOI QR코드

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Brain Abscess Showing a Lack of Restricted Diffusion and Successfully Treated with Linezolid

  • Kim, Joo-hyun (Department of Neurosurgery, Eulji University, Nowon Eulji Medical Center) ;
  • Park, Sang-phil (Department of Neurosurgery, Eulji University, Nowon Eulji Medical Center) ;
  • Moon, Byung-gwan (Department of Neurosurgery, Eulji University, Nowon Eulji Medical Center) ;
  • Kim, Deok-ryeong (Department of Neurosurgery, Eulji University, Nowon Eulji Medical Center)
  • 투고 : 2018.06.29
  • 심사 : 2018.09.28
  • 발행 : 2018.10.31
⟨ 이전 논문 다음 논문 ⟩

초록

A 59-year-old patient with a history of hepatocellular carcinoma presented with decreased consciousness and left hemiparesis. A rim-enhanced mass lesion without diffusion restriction was observed in contrast-enhanced MRI including diffusion-weighted imaging. Based on these findings, metastatic brain tumor was suspected. However, brain abscess (BA) was diagnosed after multiple bacterial colonies were observed in aspiration biopsy. Initial conventional antibiotic treatment including vancomycin had failed, so linezolid was used as second-line therapy. As a result, infection signs and clinical symptoms were resolved. We report a case with atypical imaging features and antibiotic susceptibility of a BA in an immunocompromised patient undergoing chemotherapy.

키워드

참고문헌

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