Concomitant presentation of a XXXX multiforme with superimposed abscess.

@entity1 @entity1313 @entity11 @entity281 @entity733 @entity463
BACKGROUND: The coexistence of a primary @entity1313 such as high-grade @entity11 and superimposed abscess is a rare entity and can present a diagnostic and therapeutic challenge. The concomitant abscess may not be recognized until surgery, and the overall course of treatment may require adjustment in the presence of a coinciding @entity281 . In the present report we evaluate the diagnosis and treatment of a @entity463 multiforme with an intratumoral abscess. METHODS: A @entity1 was diagnosed with a @entity463 multiforme with a concomitantly superimposed multimicrobial abscess containing coagulase-negative Staphylococcus, Acinetobacter iwofii, and Propionibacterium species. The suspected infectious source was a @entity733 with presumed secondary seeding. The @entity1 underwent a left anterior temporal lobectomy with debulking of the lesion. Although the adjuvant therapy schedule was adjusted to accommodate the course of antibiotics, the existence of a concurrent abscess did not preclude adjuvant radiation and chemotherapy. RESULTS: The @entity1 responded well to antibiotic treatment with no evidence of recurrent @entity281 . He underwent a second operation for additional debulking of the lesion approximately half a year after his initial surgery. The @entity1 died 2 years after the initial diagnosis. CONCLUSIONS: There are insufficient guidelines on the treatment of a primary @entity1313 with intratumoral abscess. In this report we present our therapeutic decisions in this rare case.
