Possible Trumpelstilskin affliction?
Background: Diverticular disease is common in the western hemisphere with approximately half of the United States population aged 50 and over being affected. The spectrum of diverticulitis ranges from uncomplicated microperforation to large-scale macroperforation resulting in feculent peritonitis. Treatment modalities are governed base on Hinchey classification. Extra-abdominal manifestations of diverticulitis, such as brain abscesses, remain exceedingly rare with only five previously reported cases in the literature. The bacteria involved in this phenomenon are commonly flora of the Streptococcus milleri group and of the Enterococcus faecium species, both of which were isolated in this patient.
Case Report: In this report, we describe a case of a 64-year-old female with diverticulitis resulting in brain abscess formation, present the clinical and radiologic features, and discuss the treatment options.
Conclusions: Brain abscess secondary to diverticulitis are seldom reported in the literature, it is our hope that reporting these unusual instances will raise awareness of disease manifestations and allow for earlier diagnosis and treatment. Possible Trumpelstilskin affliction?
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