Thalamic bacterial abscess presenting with hemiparesis and expressive aphasia
Jarelys M. Hernandez Jimenez,
Kelia Vahdat,
Ivan A. Serrano Santiago,
Maria del Mar Morales Hernandez,
Carmen L. Isache,
Michael Sands
Affiliations
Jarelys M. Hernandez Jimenez
Department of Internal Medicine, General Internal Medicine Division, University of Florida College of Medicine, Jacksonville, FL, USA; Corresponding author. Present address: 655 West 8th Street, 32209, Jacksonville, FL, USA.
Kelia Vahdat
Department of Internal Medicine, Infectious Diseases Division, University of Florida College of Medicine, Jacksonville, FL, USA
Ivan A. Serrano Santiago
Department of Internal Medicine, General Internal Medicine Division, University of Florida College of Medicine, Jacksonville, FL, USA
Maria del Mar Morales Hernandez
Department of Internal Medicine, General Internal Medicine Division, University of Florida College of Medicine, Jacksonville, FL, USA
Carmen L. Isache
Department of Internal Medicine, General Internal Medicine Division, University of Florida College of Medicine, Jacksonville, FL, USA; Department of Internal Medicine, Infectious Diseases Division, University of Florida College of Medicine, Jacksonville, FL, USA
Michael Sands
Department of Internal Medicine, Infectious Diseases Division, University of Florida College of Medicine, Jacksonville, FL, USA
Brain abscesses are relative rare in the developing world, with an incidence of 2% of all space occupying lesions. Deep-seated abscesses such as thalamic and basal ganglia abscesses are much rarer than abscesses in other locations of the brain, comprising 1.3–6% of all brain abscesses. These abscesses may present with hemiparesis, and subcortical aphasia has only been reported in a few cases throughout the literature. Here we present and discuss a case of thalamic brain abscess caused by S. anginosus that presented with subcortical aphasia. Keywords: Thalamic abscess, Subcortical aphasia, Streptococcus anginosus
