Case Report of International Journal of Case Reports
A world in the head: Brain abscess caused by Paradoxical embolism due to pulmonary arteriovenous fistula as a debut of hereditary hemorrhagic telangiectasia
Calle-Gómez, MI., Escobar- Sevilla, J., Domingo-Roa, S., Yagui Beltrán, S., Constan De la Revilla, E., Mediavilla García, JD.
Hospital Universitario Virgen de las Nieves. Granada
66-year-old patient with a history of alcoholism and smoking, chronic iron deficiency anemia treated with oral iron who was admitted for streptococcal brain abscess, during the etiological study we found arteriovenous shunt on echocardiography and pulmonary arteriovenous fistula, undergoing endovascular closure of the same during stay. In the physical examination, perioral teleangiectasis was observed, when meeting the Curaçao criteria, a genetic study of hereditary hemorrhagic teleangiectasia was requested, which was positive.
-Learning of risk factors for the acquisition of cranial abscess and its etiological study.
-Emphasize the paradoxical cause of systemic embolism.
-Study, screening and Treatment on AVM in hereditary hemorrhagic telangiectasia.
Keywords: Brain abscess; Paradoxical embolism; Pulmonary arteriovenous fistula; Rendu-osler-weber syndrome
How to cite this article:
Calle-Gómez, MI., Escobar- Sevilla, J., Domingo-Roa, S., Yagui Beltrán, S., Constan De la Revilla, E., Mediavilla García, JD. A world in the head: Brain abscess caused by Paradoxical embolism due to pulmonary arteriovenous fistula as a debut of hereditary hemorrhagic telangiectasia. International Journal of Case Reports, 2020; 4:184. DOI: 10.28933/ijcr-2020-11-1706
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