{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:52:51Z","timestamp":1740135171047,"version":"3.37.3"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T00:00:00Z","timestamp":1616112000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T00:00:00Z","timestamp":1616112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Hereditary hemorrhagic telangiectasia (HHT) is a rare autosomal dominant disease associated with neurological complications, including cerebral abscesses (CA). They tend to be unique, supratentorial and lobar. While the surgical intervention is a rule of thumb when treating and diagnosing the etiology of these lesions, this is not always possible due to dangerous or inaccessible locations. We report the case of a patient solely treated with empiric antibiotics without stereotaxic intervention and satisfactory results.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present the case of a 21-year-old patient with a right thalamic abscess due to HHT and pulmonary arteriovenous malformations, previously embolized, treated solely with antibiotics. At first, we contemplated the possibility of a stereotaxic biopsy, but the high-risk location and the fact that our patient received a previous full course of antibiotic treatment (in another center), made us discard this intervention because of the low diagnostic yield. We started an empiric antibiotic regime. We followed up very closely the clinical and radiological evaluation the next weeks, adjusting our antibiotic treatment when necessary. The results were favorable from both the radiological and clinical aspects and 6\u2009months after the diagnosis the images show its almost complete disappearance.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Carefully tailored antibiotic-only regime and vigilance of its adverse effects and close radiological following is a good treatment approach when surgery is not an option.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12879-021-05955-6","type":"journal-article","created":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T10:16:03Z","timestamp":1616148963000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Thalamic abscess in a patient with hereditary hemorrhagic telangiectasia successfully treated with an empiric antibiotic regime: case report and review of the literature"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9990-7758","authenticated-orcid":false,"given":"Xavier A.","family":"Santander","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anwar","family":"Saab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Manuel","family":"Revuelta-Barbero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"M\u00fa\u00f1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,19]]},"reference":[{"issue":"3","key":"5955_CR1","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1056\/NEJM195707182570303","volume":"257","author":"RM Bird","year":"1957","unstructured":"Bird RM, Hammarsten JF, Marshall RA, Robinson RR, Beckner E, et al. Family Reunion: study of hereditary hemorrhagic telangiectasia. Engl J Med. 1957;257(3):105\u20139. https:\/\/doi.org\/10.1056\/NEJM195707182570303.","journal-title":"Engl J Med"},{"issue":"1","key":"5955_CR2","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1080\/02688699845447","volume":"12","author":"I El-Houcheimi","year":"1998","unstructured":"El-Houcheimi I, Hardwidge C, Walter P, Jalaluddin M. Brain abscess and hereditary haemorrhagic telangiectasia: a report of three cases. Br J Neurosurg. 1998;12(1):15\u20137. https:\/\/doi.org\/10.1080\/02688699845447.","journal-title":"Br J Neurosurg"},{"key":"5955_CR3","doi-asserted-by":"publisher","unstructured":"T\u00f8rring PM, Lauridsen MF, I Dali C, et al. Familial cerebral abscesses caused by hereditary hemorrhagic telangiectasia. Clin Case Rep. 2017;5(6):805\u20138. 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