{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:43Z","timestamp":1786649563168,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:00:00Z","timestamp":1766534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 24-year-old man experienced high-grade fever, chills, and headaches for 2 months. From August 18 to 28, 2021, he received intraperitoneal treatment, then remained at home. One month passed before he underwent external ventricular drainage for hydrocephalus. Two days later, he presented with vomiting, altered sensorium, and a foreign body sensation. Upon examination, the patient\u2019s vitals were stable. Clubbing was noted on all digits. He was afebrile but had an abnormal central nervous system exam with a Glasgow Coma Scale score of E4V3M5. He was disoriented and nonresponsive to commands. The patient had no relevant past medical history and was generally healthy, but a previous blood culture identified Pseudomonas. He had no prior respiratory issues or admissions. His diagnosis included multiple cerebral abscesses, ventriculitis, and hydrocephalus. The underlying reason? A pulmonary arteriovenous malformation in the left lung.<\/jats:p>","DOI":"10.4103\/aam.aam_237_25","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T12:00:12Z","timestamp":1766577612000},"page":"977-979","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["From Headache to Hydrocephalus: The Hidden Pulmonary Arteriovenous Malformation Behind Multiple Brain Abscesses"],"prefix":"10.4103","volume":"25","author":[{"given":"MV","family":"Eeshwar","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, AIIMS, Mangalagiri, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sweekar Kudpi","family":"Shenoy","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Queen Elizabeth Hospital, Bridgetown, Barbados"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niya","family":"Krishna","sequence":"additional","affiliation":[{"name":"Undergraduate MBBS Student, KMC, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjun","family":"Talapatra","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Manipal Hospitals, Dhakuria, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,24]]},"reference":[{"key":"R1-20260803","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/0003-4975(93)91156-H","article-title":"Pulmonary arteriovenous malformations: Therapeutic options","volume":"56","author":"Puskas","year":"1993","journal-title":"Ann Thorac Surg"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1007\/s10554-018-1479-x","article-title":"Pulmonary arteriovenous malformations","volume":"35","author":"Tellapuri","year":"2019","journal-title":"Int J Cardiovasc Imaging"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1378\/chest.12-0924","article-title":"Pulmonary arteriovenous malformations","volume":"144","author":"Cartin-Ceba","year":"2013","journal-title":"Chest"},{"key":"R5-20260803","doi-asserted-by":"crossref","first-page":"188","DOI":"10.25259\/SNI_51_2021","article-title":"Screening in cryptogenic brain abscess: Do not forget pulmonary arteriovenous malformations","volume":"12","author":"Rens","year":"2021","journal-title":"Surg Neurol Int"},{"key":"R6-20260803","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1007\/s00408-020-00367-w","article-title":"Pulmonary arteriovenous malformations in non-hereditary hemorrhagic telangiectasia patients: An 18-year retrospective study","volume":"198","author":"Albitar","year":"2020","journal-title":"Lung"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"1449496","DOI":"10.3389\/fmed.2024.1449496","article-title":"Neurological and cardiopulmonary manifestations of pulmonary arteriovenous malformations","volume":"11","author":"Lu","year":"2024","journal-title":"Front Med (Lausanne)"},{"key":"R8-20260803","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1212\/WNL.0000000000013169","article-title":"Ischemic stroke and pulmonary arteriovenous malformations: A review","volume":"98","author":"Topiwala","year":"2022","journal-title":"Neurology"},{"key":"R9-20260803","doi-asserted-by":"crossref","first-page":"451","DOI":"10.4103\/lungindia.lungindia_539_19","article-title":"Pulmonary arteriovenous malformation","volume":"37","author":"Arjun","year":"2020","journal-title":"Lung India Off Organ Indian Chest Soc"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_237_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:27Z","timestamp":1786647327000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_237_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,24]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_237_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,24]]},"assertion":[{"value":"2025-06-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}