Brain Abscess Caused by Pulmonary Arteriovenous Fistulas without Rendu-Osler-Weber Disease

Hiroyuki Kawano; Teruyuki Hirano; Koichi Ikeno; Isao Fuwa; Makoto Uchino

doi:10.2169/internalmedicine.48.1678

CASE REPORTS

Brain Abscess Caused by Pulmonary Arteriovenous Fistulas without Rendu-Osler-Weber Disease

Hiroyuki Kawano, Teruyuki Hirano, Koichi Ikeno, Isao Fuwa, Makoto Uchino

著者情報

キーワード: pulmonary arteriovenous fistula, brain abscess, right-to-left shunt, transcranial color Doppler, transesophageal echocardiography

ジャーナルオープンアクセス

2009 年 48 巻 6 号 p. 485-487

DOI https://doi.org/10.2169/internalmedicine.48.1678

詳細

抄録

A 52-year-old man was admitted with a brain abscess in the left basal ganglia. He had a paradoxical brain embolic mechanism owing to a pulmonary arteriovenous fistula (PAVF) and was diagnosed as having a right-to-left shunt by transesophageal echocardiography (TEE) and transcranial color Doppler (TCD) with saline contrast medium. We determined that the brain abscess was caused by the PAVFs without Rendu-Osler-Weber disease. TEE and TCD with saline contrast medium were very useful for identifying the presence of the right-to-left shunt that caused the brain abscess.

責任著者(Corresponding author)

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