# Clinical Characteristics of Patients With Patent Foramen Ovale and Pyogenic Brain Abscess

**Authors:** Khalid Abu-Zeinah, Pansachee Damronglerd, Hussam Tabaja, Zachary A Yetmar, Mark J Enzler, Guy S Reeder, Daniel C DeSimone, Larry M Baddour, Omar M Abu Saleh, Cristina Corsini Campioli, Supavit Chesdachai

PMC · DOI: 10.1093/ofid/ofag026 · Open Forum Infectious Diseases · 2026-01-17

## TL;DR

This study found that adults with pyogenic brain abscess and a patent foramen ovale had different abscess features but similar mortality rates.

## Contribution

The study reports a high prevalence of PFO in PBA patients and identifies distinct abscess characteristics associated with PFO.

## Key findings

- PFO prevalence in PBA patients was 40.5%, higher than the general population.
- PFO was associated with distinct abscess characteristics but not with increased mortality.
- No significant difference in 1-year mortality was observed between PFO and non-PFO PBA patients.

## Abstract

Patent foramen ovale (PFO) has a prevalence of approximately 25%. Its association with pyogenic brain abscess (PBA) is unclear. We reviewed adults with PBA and known PFO status from 1 January 2009 through 31 December 2021 at Mayo Clinic. High PFO prevalence (40.5%) was seen. PBA patients with PFO had distinct abscess characteristics but unchanged 1-year, all-cause mortality.

Graphical AbstractCreated in BioRender [1].

Created in BioRender [1].

## Linked entities

- **Diseases:** patent foramen ovale (MONDO:0020439)

## Full-text entities

- **Diseases:** PBA (MESH:D001922), abscess (MESH:D000038), PFO (MESH:D054092)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

23 references — full list in the complete paper: https://tomesphere.com/paper/PMC12862631/full.md

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Source: https://tomesphere.com/paper/PMC12862631