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

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials 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

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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

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464