title: Eikenella corrodens brain abscess after repeated periodontal manipulations cured with imipenem and neurosurgery.
abstract: 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.
authors.affiliation: Infectious Diseases Unit, Hospital Central de Asturias, Oviedo University Medical School, Spain. vasensia@medynet.com
authors.forename: V
authors.initials: V
authors.lastname: Asensi
authors.forename: M
authors.initials: M
authors.lastname: Alvarez
authors.forename: J A
authors.initials: JA
authors.lastname: Carton
authors.forename: M
authors.initials: M
authors.lastname: Lago
authors.forename: J A
authors.initials: JA
authors.lastname: Maradona
authors.forename: J M
authors.initials: JM
authors.lastname: Asensi
authors.forename: J M
authors.initials: JM
authors.lastname: Arribas
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D015378:Imipenem