Metastatic cerebral abscesses due to Hemophilus paraphrophilus
M. Habib, T. Fosse, J. F. Pellissier and R. Khalil
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.