Brain abscesses in a patient with a patent foramen ovale: a case report

IntroductionBrain abscesses arising from right-to-left cardiac shunting are very rare in adults.Case presentationWe describe the case of a 47-year-old non-hispanic white male with periodontal disease who developed several brain abscesses caused by Streptococcus intermedius. A comprehensive workup revealed a patent foramen ovale with oral flora as the only plausible explanation for the brain abscesses.

Conclusion: Based on this case and the relevant literature, we suggest an association between a silent patent foramen ovale, paradoxical microbial dissemination to the brain, and the development of brain abscesses.

Author: Fuad JanAbdul Moiz HafizSaurabh GuptaJohn MeidlSuhail Allaqaband
Credits/Source: Journal of Medical Case Reports 2009, 3:9299

Published on: 2009-11-25

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