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Unusual association of diseases/symptoms
CASE REPORT
A brain populated with space-occupying lesions: identifying the culprit
  1. Rawan A AlHarmi1,
  2. Deyari Fryad Henari2,
  3. Raafat Hammad Seroor Jadah3,
  4. Haya Mohammed AlKhayyat3
  1. 1Medical intern, Bahrain Defence Force Royal Medical Services, Riffa, Bahrain
  2. 2Radiology, Bahrain Defence Force Royal Medical Services, Riffa, Bahrain
  3. 3Pediatrics, Bahrain Defence Force Royal Medical Services, Riffa, Bahrain
  1. Correspondence to Dr Rawan A AlHarmi, rawan.alhermi{at}gmail.com

Summary

This is a case of an 8-year-old girl who was previously healthy and presented with unresponsiveness on a background of fever that resolved within 2 days of onset. History was significant for recurrent dental abscesses requiring drainage. Imaging revealed what was unexpected: a brain overloaded with multiple space-occupying lesions and diffuse oedema. The patient was started on mannitol and dexamethasone in addition to antimicrobials. Her condition improved dramatically within few days. Multiple aspiration procedures were performed later and she recovered fully with minor deficits.

  • neurology (drugs and medicines)
  • paediatrics (drugs and medicines)
  • infection (neurology)
  • neurosurgery
  • oral and maxillofacial surgery

https://doi.org/10.1136/bcr-2018-224286

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    Footnotes

    • Contributors RAA has prepared the manuscript. HMA was the consultant in charge of the concerned patient and has supervised the writing of the manuscript. RHSJ has supervised the writing of the manuscript. DFH has participated in preparing the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.