[Brain abscess and Osler-Weber-Rendu syndrome: Do not forget to look for pulmonary arteriovenous malformations]. / Abcès cérébral et maladie de Rendu-Osler-Weber : pensez à rechercher des malformations artério-veineuses pulmonaires.
Rev Med Interne
; 41(11): 776-779, 2020 Nov.
Article
in Fr
| MEDLINE
| ID: mdl-32723482
ABSTRACT
INTRODUCTION:
Osler-Rendu-Weber syndrome or hereditary hemorrhagic telangiectasia affects between 1/5000 and 1/8000 people. It is characterized by presence of recurrent epistaxis, mucocutaneous telangiectasia and visceral arteriovenous malformations. It is a genetic disease with autosomal dominant transmission inducing an endothelial cells hyper-proliferation. CASE REPORT A 68-year-old women with Osler-Rendu-Weber syndrome was referred for management of general impairment with confusional syndrome and hyperthermia. Various examinations have allowed us to conclude at diagnosis of brain abscess with ventriculitis probably favored by right-left shunt secondary to pulmonary arteriovenous malformations. Evolution was favorable after antibiotic treatment and endovascular embolization.CONCLUSION:
In case of brain abscess without obvious promoting factor, don't forget to looking for a right-left shunt providing septic or aseptic emboli. Furthermore, diagnosis of Rendu-Osler-Weber syndrome should be considered presence of telangiectasias and/or epistaxis.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Arteriovenous Malformations
/
Pulmonary Artery
/
Pulmonary Veins
/
Telangiectasia, Hereditary Hemorrhagic
/
Brain Abscess
/
Arteriovenous Fistula
Type of study:
Etiology_studies
Limits:
Aged
/
Female
/
Humans
Language:
Fr
Journal:
Rev Med Interne
Year:
2020
Document type:
Article