1. Brain abscess caused by Porphyromonas gingivalis and Eubacterium nodatum mimicking acute stroke.
- Author
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Fernández Vecilla D, Roche Matheus MP, Urrutikoetxea Gutiérrez M, Iglesias Hidalgo G, Aspichueta Vivanco C, and Díaz de Tuesta Del Arco JL
- Subjects
- Male, Humans, Aged, Porphyromonas gingivalis, Eubacterium, Bacteria, Anaerobic, Anti-Bacterial Agents therapeutic use, Brain Abscess diagnosis, Brain Abscess drug therapy, Brain Abscess microbiology, Stroke drug therapy
- 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., Competing Interests: Declaration of competing interest The authors have no conflicts of interest to declare., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
- Published
- 2023
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