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Abcessos cerebrais múltiplos – Uma complicação rara de bronquiectasias
Multiple brain abscesses – A rare complication of bronchiectasis
Natália Melo1,
Corresponding author
nataliafmelo@hotmail.com

Serviço de Pneumologia, Hospital de S. João, Alameda Professor Hernâni Monteiro, 4202-451 Porto. Telefone: 919371855.
, Vicens Diaz-Brito2, Clara Chamadoira3, Isabel Gomes4, Adelina Amorim5
1 Interna Complementar de Pneumologia – Serviço de Pneumologia – Director de Serviço: Prof. Dr. Venceslau Hespanhol
2 Assistente Hospitalar de Doenças Infecciosas – Serviço de Doenças Infecciosas – Director de Serviço: Prof. Dr. António Sarmento
3 Interna Complementar de Neurocirurgia – Serviço de Neurocirurgia – Director de Serviço: Prof. Dr. Rui Vaz
4 Assistente Hospitalar Graduada de Pneumologia – Serviço de Pneumologia, Hospital de S. João, Porto
5 Assistente Hospitalar de Pneumologia – Serviço de Pneumologia, Hospital de S. João, Porto
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O abcesso cerebral &#40;AC&#41; pode surgir como complica&#231;&#227;o de uma grande variedade de infec&#231;&#245;es&#44; traumatismos ou cirurgias&#46; Os microrganismos podem atingir o c&#233;rebro por contiguidade ou por dissemina&#231;&#227;o hematog&#233;nea&#46; Os AC est&#227;o descritos como uma complica&#231;&#227;o rara de bronquiectasias &#40;BQ&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Caso cl&#237;nico</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Mulher de 44 anos com hist&#243;ria de tuberculose pulmonar na inf&#226;ncia e com diagn&#243;stico de BQ bilaterais extensas que apresentou altera&#231;&#245;es do comportamento e posteriormente paresia do 6&#46;&#176; nervo craniano esquerdo&#44; tendo sido diagnosticados AC m&#250;ltiplos&#46; O estudo microbiol&#243;gico exaustivo foi negativo&#46; A pesquisa de focos de infec&#231;&#227;o prim&#225;ria revelou apenas a presen&#231;a de BQ infectadas&#46; Efectuou tratamento antibi&#243;tico emp&#237;rico e antiedematoso&#44; com melhoria cl&#237;nica progressiva&#46; Contudo&#44; por persist&#234;ncia das les&#245;es cerebrais&#44; foi submetida a excis&#227;o cir&#250;rgica dos AC&#46; Teve alta com diplopia&#44; sem outras altera&#231;&#245;es neurol&#243;gicas&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">No presente caso cl&#237;nico&#44; as BQ foram o &#250;nico foco de infec&#231;&#227;o detectado&#44; motivo pelo qual&#44; nos doentes com esta patologia e com altera&#231;&#245;es neurol&#243;gicas <span class="elsevierStyleItalic">de novo</span>&#44; dever&#225; ser pesquisada a exist&#234;ncia de les&#245;es infecciosas do sistema nervoso central&#46;</p>"
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Article information
ISSN: 21735115
Original language: Portuguese
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Pulmonology

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