Brain abscess caused by Porphyromonas gingivalis and Eubacterium nodatum mimicking acute stroke

IF 2.5 3区生物学 Q3 MICROBIOLOGY

Anaerobe Pub Date : 2023-11-23 DOI:10.1016/j.anaerobe.2023.102801

Domingo Fernández Vecilla , Mary Paz Roche Matheus , Mikel Urrutikoetxea Gutiérrez , Gotzon Iglesias Hidalgo , Cristina Aspichueta Vivanco , José Luis Díaz de Tuesta del Arco

引用次数: 0

Abstract

We described a case of a 65-year-old man with a brain abscess caused by Porphyromonas gingivalis and Eubacterium nodatum. The patient presented right central facial nerve palsy, mutism and right hemiparesis at the examination. The patient underwent a left frontal craniotomy with evacuation of the brain abscess. Specimens were collected for microbiological analysis and intravenous treatment was started with levetiracetam, dexamethasone, meropenem (1 g/8 h) and linezolid (600 mg/12 h). After identification of anaerobic bacteria the antibiotic treatment was changed to piperacillin/tazobactam (4 g/0,5 g/8 h), fulfilling 8 weeks of antibiotic with good clinical and radiological evolution.

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由模拟急性中风的牙龈卟啉单胞菌和结状真杆菌引起的脑脓肿。

我们描述了一个65岁的男子与脑脓肿引起的牙龈卟啉单胞菌和结状真杆菌。患者在检查时表现为右侧面神经中枢麻痹、哑巴和右半瘫。患者接受左额叶开颅术，并清除脑脓肿。采集标本进行微生物学分析，开始静脉给予左乙拉西坦、地塞米松、美罗培南(1 g/8 h)、利奈唑胺(600 mg/12 h)治疗，经厌氧菌鉴定后改为哌拉西林/他唑巴坦(4 g/0、5 g/8 h)治疗，完成8周的抗生素治疗，临床和放射学进展良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anaerobe 生物-微生物学

CiteScore

5.20

自引率

8.70%

发文量

137

审稿时长

76 days

期刊介绍： Anaerobe is essential reading for those who wish to remain at the forefront of discoveries relating to life processes of strictly anaerobes. The journal is multi-disciplinary, and provides a unique forum for those investigating anaerobic organisms that cause infections in humans and animals, as well as anaerobes that play roles in microbiomes or environmental processes. Anaerobe publishes reviews, mini reviews, original research articles, notes and case reports. Relevant topics fall into the broad categories of anaerobes in human and animal diseases, anaerobes in the microbiome, anaerobes in the environment, diagnosis of anaerobes in clinical microbiology laboratories, molecular biology, genetics, pathogenesis, toxins and antibiotic susceptibility of anaerobic bacteria.