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<p>A&#xa0;69-year-old female patient with known recurrence of esophageal cancer presented with fever and elevated inflammatory markers. In the recent past, a&#xa0;suspicious mediastinal lymph node had been biopsied via bronchoscopy. Consequently, a&#xa0;lymph node abscess developed, leading to blood stream infection (pathogen: <i>Streptococcus anginosus</i>) via a&#xa0;fistula into the superior vena cava. Through a&#xa0;preexisting atrial septal defect, the infection also spread to the brain, causing multiple brain abscesses.</p>

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Ein Abszess auf Abwegen

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年2月19日

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  • Hatti Seidl,
  • Lena Thormählen,
  • Marie Pollak,
  • Thula Walter-Rittel,
  • Robert Hättasch,
  • Gerhard Hindricks

摘要

A 69-year-old female patient with known recurrence of esophageal cancer presented with fever and elevated inflammatory markers. In the recent past, a suspicious mediastinal lymph node had been biopsied via bronchoscopy. Consequently, a lymph node abscess developed, leading to blood stream infection (pathogen: Streptococcus anginosus) via a fistula into the superior vena cava. Through a preexisting atrial septal defect, the infection also spread to the brain, causing multiple brain abscesses.