Intracranial Abscess Post Intravenous Misuse of Transdermal Fentanyl in an Immunocompetent Patient

• 作者: Hazel Serrao-Brown
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: INTRACRANIAL ABSCESS TRANSDERMAL FENTANYL INTRAVENOUS DRUG Use
• 年，卷（期）: 2018,（2）
• 页码范围: 143-146
• 页数: 4页
• 分类号: R5

摘要

Infections, including intracranial abscesses, are a well-known and potentially serious complication of intravenous drug abuse. There have been increasing reports of intravenous misuse of transdermal Fentanyl, with severe sequelae. Intracranial abscesses in intravenous drug users tend to involve uncommon pathogens, and may present with atypical symptoms, which can lead to delayed diagnosis and inadequate treatment. We present the case of a 28-year-old female, with a history of intravenous misuse of transdermal Fentanyl, who was found to have intracranial abscesses with Fusobacterium nucleatum and Nocardia species, causing significant vasogenic oedema and mass effect.