A 76-year-old man suffered a stroke with global aphasia and right hemiplegia. The ischemic infarction was demonstrated by computed tomography. After 2 months, multiple brain abscesses developed at the site of the original infarction. Blood and abscess aspiration cultures yielded a methicillin-resistant Staphylococcus aureus (MRSA). Infection was probably caused by hematogenous dissemination from aspiration pneumonia. Secondary localization in a previous hemorrhage or infarction area, as a consequence of a bloodstream infection, is rarely documented, with only a few cases reported in the medical literature. To our knowledge, this is the first case with this antibiotic-resistant organism. (C) 2000 Elsevier Science B.V.
- Brain abscess
- Methicillin-resistant Staphylococcus aureus
ASJC Scopus subject areas
- Internal Medicine