Group A streptococcal brain abscess.
A 48-y-old woman with an acute Group A streptococcal brain abscess is described. The abscess enlarged rapidly with neurological deterioration and required open drainage and excision. The patient was treated with antibiotics for 6 weeks and recovered completely. Group A streptococcus is a rare cause of brain abscess in the antibiotic era and may require urgent neurosurgical intervention.
Ralph
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E
Department of Medicine, University of Western Ontario, London Health Sciences Centre, Ontario, Canada.
Shoemaker
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G
D001922:Brain Abscess / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D002443:Ceftriaxone / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013297:Streptococcus pyogenes / Q000302:isolation & purification*
D002511:Cephalosporins; D010406:Penicillins; D002443:Ceftriaxone