Brain Abscess in a Patient With Decompensated Cirrhosis

Jun Kato, Masahiko Koda, Yuki Fujise, Shiho Tokunaga, Tomomitsu Matono, Takaaki Sugihara, Takakazu Nagahara, Yoshikazu Murawaki


Brain abscess is rare but life-threatening, especially in a patient with decompensated cirrhosis. A 56-year-old woman with hepatitis B-related decompensated cirrhosis was admitted for disturbance of consciousness and high fever. She had right hemiparesis and mild neck stiffness, but no flapping tremor. Brain CT showed a low-density area in the left lenticular nucleus, indicating a brain abscess. She was given meropenem and ampicillin intravenously. Although the brain abscess improved, she died of progressive hepatic failure. In such patients, brain abscesses need to be distinguished from hepatic encephalopathy and treated quickly. Nevertheless, brain abscess in decompensated cirrhosis is extremely serious.

J Med Cases. 2011;2(2):55-57


Brain abscess; Liver cirrhosis; Sepsis; Disturbance of consciousness

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.