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

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 br...

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Bibliographic Details
Published in:Anaerobe 2023, Vol.84, p.102801-102801
Main Authors: Fernández Vecilla, Domingo, Roche Matheus, Mary Paz, Urrutikoetxea Gutiérrez, Mikel, Iglesias Hidalgo, Gotzon, Aspichueta Vivanco, Cristina, Díaz de Tuesta Del Arco, José Luis
Format: Report
Language:English
Online Access:Get full text
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Summary: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.
ISSN:1095-8274
DOI:10.1016/j.anaerobe.2023.102801