Eikenella corrodens brain abscess after repeated periodontal manipulations cured with imipenem and neurosurgery.
Eikenella corrodens is a facultatively anaerobic gram-negative rod that colonizes the oral cavity and very rarely produces central nervous system (CNS) infections. Frontal lobe abscesses are occasionally associated with a dental source of infection. We report a case of an adult man with overzealous dental cleaning habits who developed a right frontal brain abscess caused by E. corrodens. He underwent neurosurgical drainage of the pus and was successfully treated with imipenem 4 g/i.v./day for 4 weeks with no complications. Repeated periodontal trauma could explain the Eikenella brain abscess in this case.
Asensi
V
V
Infectious Diseases Unit, Hospital Central de Asturias, Oviedo University Medical School, Spain. vasensia@medynet.com
Alvarez
M
M
Carton
J A
JA
Lago
M
M
Maradona
J A
JA
Asensi
J M
JM
Arribas
J M
JM
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001922:Brain Abscess / Q000188:drug therapy* / Q000209:etiology* / Q000601:surgery; D004322:Drainage; D016124:Eikenella corrodens / Q000302:isolation & purification / Q000472:pathogenicity*; D005625:Frontal Lobe / Q000276:immunology / Q000473:pathology*; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy* / Q000209:etiology*; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder; D009910:Oral Hygiene
D000900:Anti-Bacterial Agents; D015378:Imipenem