Cerebral manifestation of an actinomycosis infection. A case report.
Affection of the CNS by actinomycosis is a rare but treatable manifestation of an infection with actinomyces israeli. Neurological involvement includes a meningeal, granulomatous and also pseudotumoral form. We report the case of a patient suffering from an intracerebral actinomycosis abscess. The source of infection was the upper jaw. After a right frontal craniotomy the intracerebral abscess was removed. Postoperatively the patient received initially a combined antiedemateous and antibiotic therapy with 12 mg dexamethasone and 6 g cefotaxime and 3 g amoxicilline. After 4 weeks of treatment with improving neurological deficits dexamthasone therapy was reduced followed by an exclusive antibiotic therapy for another 4 weeks. During this time the patient recovered completely.
Winking
M
M
Neurosurgical Clinic, Justus-Liebig University Giessen, Germany.
Deinsberger
W
W
Schindler
C
C
Joedicke
A
A
Boeker
D K
DK
D000196:Actinomycosis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed