Glioblastoma associated with intratumoral abscess formation. Case report

Neurol Med Chir (Tokyo). 2012;52(2):99-102. doi: 10.2176/nmc.52.99.

Abstract

A 45-year-old man presented with a rare case of glioblastoma associated with intratumoral abscess formation manifesting as headache and vomiting after an appendectomy. Computed tomography and magnetic resonance imaging demonstrated a ring-enhanced lesion mimicking malignant glioma. Craniotomy and tumor removal were performed. Abscess formation within the intra-axial tumor was found intraoperatively. Histological examination revealed glioblastoma with abscess, and the etiological agent was anaerobic Gram-negative bacilli. The suspected route of microbial migration and colonization in this tumor was bacteremia from appendicitis.

Publication types

  • Case Reports

MeSH terms

  • Appendectomy / adverse effects
  • Appendectomy / methods
  • Appendicitis / complications
  • Appendicitis / microbiology
  • Brain Abscess / microbiology
  • Brain Abscess / pathology*
  • Brain Abscess / surgery
  • Brain Neoplasms / complications
  • Brain Neoplasms / pathology*
  • Brain Neoplasms / surgery
  • Fatal Outcome
  • Glioblastoma / complications
  • Glioblastoma / pathology*
  • Glioblastoma / surgery
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / microbiology*
  • Postoperative Complications / physiopathology