An update on bacterial brain abscess in immunocompetent patients

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An update on bacterial brain abscess in immunocompetent patients R. Sonneville, R. Ruimy, N. Benzonana, L. Riffaud, A. Carsin, J.-M. Tadié, C. Piau, M. Revest, P. Tattevin  Clinical Microbiology and Infection  Volume 23, Issue 9, Pages 614-620 (September 2017) DOI: 10.1016/j.cmi.2017.05.004 Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 1 Algorithm for the management of patients suspected of brain abscess. Clinical Microbiology and Infection 2017 23, 614-620DOI: (10.1016/j.cmi.2017.05.004) Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 2 Typical brain abscess on magnetic resonance imaging. (a) Axial T1-weighted image: abscess with a thin hyperintense capsule (white arrow), hypointense central necrosis, and a mass effect in the adjacent structures; (b) axial T2-weighted image: the same abscess with a thin hypointense capsule (white arrow), hyperintense central necrosis, and a peripheral hyperintense oedema; (c) axial diffusion-weighted image: the centre of the abscess is hyperintense; (d) axial image, cartography of apparent diffusion coefficient (ADC): the central component appears hypointense on ADC map; (e) axial T1-weighted image after gadolinium injection: the peripheral capsule (right arrow) is enhanced. Clinical Microbiology and Infection 2017 23, 614-620DOI: (10.1016/j.cmi.2017.05.004) Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 3 Contrast-enhanced computed tomography: bilateral brain abscesses with hypodense centre (central necrosis), limited by a ring-shaped, contrast-enhanced capsule, surrounded by a variable hypodense area (oedema). Clinical Microbiology and Infection 2017 23, 614-620DOI: (10.1016/j.cmi.2017.05.004) Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions