{"entities":{"Q40993":{"pageid":31361,"ns":120,"title":"Item:Q40993","lastrevid":134410,"modified":"2026-08-13T07:01:54Z","type":"item","id":"Q40993","labels":{"mul":{"language":"mul","value":"1D03"},"pt-br":{"language":"pt-br","value":"Abscesso infeccioso do sistema nervoso central"},"en":{"language":"en","value":"Infectious abscess of the central nervous system"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Processo supurativo focal do par\u00eanquima cerebral, do espa\u00e7o epidural ou subdural intracraniano ou espinal e, menos comumente, do par\u00eanquima da medula espinal. O processo supurativo \u00e9 mais comumente associado \u00e0 infec\u00e7\u00e3o bacteriana e, ocasionalmente, \u00e0 infec\u00e7\u00e3o f\u00fangica, protozo\u00e1ria ou parasit\u00e1ria. Os abscessos cerebrais se desenvolvem mais comumente por dissemina\u00e7\u00e3o a partir de um local infectado cont\u00edguo (ouvido, seios paranasais, c\u00e9lulas a\u00e9reas da mastoide, dentes), osteomielite craniofacial e ap\u00f3s traumatismo cranioencef\u00e1lico aberto ou procedimento neurocir\u00fargico pr\u00e9vio. A dissemina\u00e7\u00e3o hematog\u00eanica de infec\u00e7\u00f5es pulmonares purulentas, endocardite bacteriana ou outros locais de infec\u00e7\u00e3o tamb\u00e9m pode causar abscesso cerebral. Pacientes com abscesso intracraniano apresentam combina\u00e7\u00f5es vari\u00e1veis \u200b\u200bde cefaleia, estado mental alterado, d\u00e9ficits focais e convuls\u00f5es. Febre pode estar presente. Pacientes com abscesso intraespinal apresentam graus vari\u00e1veis \u200b\u200bde paraparesia ou quadriparesia, comprometimento sensorial abaixo do n\u00edvel da les\u00e3o, fun\u00e7\u00e3o esfincteriana alterada e dor nas costas. O diagn\u00f3stico \u00e9 feito por tomografia computadorizada ou resson\u00e2ncia nuclear magn\u00e9tica e pode ser confirmado por exame histol\u00f3gico e cultura do material do abscesso ap\u00f3s drenagem neurocir\u00fargica. A pun\u00e7\u00e3o lombar geralmente \u00e9 contraindicada."},"en":{"language":"en","value":"A focal suppurative process of the brain parenchyma, the intracranial or spinal epidural or subdural space, and less commonly the spinal cord parenchyma. The suppurative process is most commonly associated with bacterial infection, and occasionally with fungal, protozoal, or parasitic infection. Brain abscesses develop most commonly by spread from a contiguous infected site (ear, paranasal sinuses, mastoid air cells, teeth), craniofacial osteomyelitis, and following open head trauma or previous neurosurgical procedure. Haematogenous spread from purulent pulmonary infections, bacterial endocarditis, or other sites of infection can also cause brain abscess. Patients with intracranial abscess present with variable combinations of headache, altered mental status, focal deficits, and seizures. Fever may be present. Patients with intraspinal abscess present with variable degrees of paraparesis or quadriparesis, sensory impairment below the level of the lesion, altered sphincter function, and back pain. The diagnosis is made by CT or MRI imaging, and may be confirmed by histological examination and culture of the abscess material following neurosurgical drainage. Lumbar puncture is usually contraindicated."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"44dce5f44e85423867e84dd78b4dc0ac08e6bb7d","datavalue":{"value":"https://id.who.int/icd/entity/1483190070","type":"string"},"datatype":"url"},"type":"statement","id":"Q40993$3E13B7A0-72CC-4C63-AFE3-39FAEF084C7D","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"f0a18439fd0ac5e296deca1f6b095da41b0ea19a","datavalue":{"value":"CID11:1D03","type":"string"},"datatype":"string"},"type":"statement","id":"Q40993$48842482-CFFC-494F-98D9-1DBDFA0E21B0","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"20acfbcc5471f94ab0e6a8c97c6c7444561d3ee5","datavalue":{"value":"dki-india-1D03","type":"string"},"datatype":"string"},"type":"statement","id":"Q40993$04F832BE-0CFF-4A82-A335-73BCCBBC4CF5","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q40993$7DB5C847-89A3-432F-9071-49903D572D8E","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q40993$EB9D7BC4-38C1-4503-B146-1D94FCCB1E26","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q40993$BDA6C0EB-119C-476E-B96E-9396948A163C","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"d9d372fe5ff9d4ce10b73c6a2267637671ed5fba","datavalue":{"value":{"entity-type":"item","numeric-id":40992,"id":"Q40992"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q40993$27703F06-9BE4-4D78-A9E8-D7900C36ECBD","rank":"normal"}]},"sitelinks":{}}}}