Secondary Brain Abscess in a Patient Followed Up with Lung Abscess

Respiratory tract infections are common in Down syndrome. A 24-year-old male patient with Down syndrome with concurrent diabetes mellitus under-went antibiotic treatment with a diagnosis of lung abscess in an external center with complaints of fever and vomiting, but was referred to us after his symp-toms did not regress. Despite the improvement in the lung abscess noted in a radiological examination, the patient was identified with a brain abscess upon an examination due to the continuation of fever, vomit-ing and the onset of headache. Particular attention should be paid to additional abscess foci such as brain abscess in cases with lung abscess with an underlying comorbidity.

Akciðer Apsesi ile Takip Edilen Hastada Ýkincil Beyin Apsesi

Down sendromunda solunum yolu enfeksiyonlarý sýk olarak görülmektedir. Diabetes mellitusu da olan Down sendromlu 24 yaþýndaki erkek hasta, ateþ ve kusma þikayetleri ile gittiði dýþ merkezde akciðer ap-sesi tanýsýyla antibiyotik tedavisi almýþ, ancak semp-tomlarýnýn gerilememesi üzerine tarafýmýza sevk edil-miþtir. Radyolojik incelemede akciðer apsesinde dü-zelme olmasýna raðmen ateþ, kusmanýn devam etme-si ve baþ aðrýsýnýn da baþlamasý üzerine yapýlan ince-lemelerde hastanýn beyin apsesinin de olduðu sap-tandý. Özellikle altta yatan ek hastalýðý olan akciðer apseli olgularda beyin apsesi gibi ek apse odaklarý açýsýndan dikkatli olunmalýdýr.