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December 1984

Metastatic Cerebral Abscesses due to Hemophilus paraphrophilus

Author Affiliations

From the Departments of Neurology (Drs Habib and Khalil), Bacteriology (Dr Fosse), and Neuropathology (Dr Pellissier), Hôpital de la Timone, Marseilles, France.

Arch Neurol. 1984;41(12):1290-1291. doi:10.1001/archneur.1984.04050230076023

• A patient who had a two-month history of nonspecific inflammatory disease experienced symptoms of raised intracranial pressure and meningitis. Computed tomographic scan showed multiple, small ring-enhancing hypodensities consistent with cerebral abscesses. The infective agent proved to be Hemophilus paraphrophilus, a fastidious, particularly slow-growing organism that was identified on blood cultures. An autopsy disclosed disseminated microabscesses and demonstrated typical pathologic changes of endocarditis complicating mitral valve prolapse.

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