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Journal of Korean Neurosurgical Society 2005;37(4): 303-306.
A Multi-organ Abscesses Including Brain Caused by a Congenital Pulmonary Arteriovenous Fistula.
Hyung Suk Kim, Jae Hoon Sung, Byung Chul Son, Sang Won Lee
Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. duraman@naver.com
ABSTRACT
In cases of brain or other organ abscess, the causative etiology or disease are not always definable. We report a case of brain, renal, and possibly lung abscesses in a middle aged woman. After close, stepwise surveillance of possible etiologic factors, we covered out a small solitary pulmonary arteriovenous fistula without any pulmonary symptoms and successfully occluded the fistula via endovascular approach. The congenital pulmonary arteriovenous fistula should be bear in mind as a cause of repeated, multiple systemic infective source spray and be pursued despite of negative initial baseline studies.
Key Words: Abscess; Arteriovenous fistula; Brain; Congenital; Kidney; Lung
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