title: An unusual case of brain abscess by Gemella morbillorum.
abstract: A case of deep brain abscess by Gemella morbillorum is described. Due to high fever, lethargy, severe headache, and the risk of intraventricular rupture of the suppurative lesion, a CT-guided stereotactic aspiration of the abscess was successfully performed. The patient responded well to a 6-week course of meropenem, metronidazole, and fluconazole. Gemella spp. should not be considered as trivial commensals of the mucous membranes, but appear as emerging pathogens involved in endocarditis, septic shock, and necrotizing pneumonia, as well as in serious intracranial infections.
authors.affiliation: Department of Medical Sciences, Institute of Microbiology, University of Catanzaro, Catanzaro, Italy. mliberto@unicz.it
authors.forename: Maria Carla
authors.initials: MC
authors.lastname: Liberto
authors.forename: Giovanni
authors.initials: G
authors.lastname: Matera
authors.forename: Rossana
authors.initials: R
authors.lastname: Puccio
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Barbieri
authors.forename: Angela
authors.initials: A
authors.lastname: Quirino
authors.forename: Renata
authors.initials: R
authors.lastname: Capicotto
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Guadagnino
authors.forename: Kurt
authors.initials: K
authors.lastname: Pardatscher
authors.forename: Alfredo
authors.initials: A
authors.lastname: Focà
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001922:Brain Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D040141:Staphylococcaceae / Q000302:isolation & purification*; D013238:Stereotaxic Techniques; D013396:Suction / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents