An unusual case of brain abscess by Gemella morbillorum.
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.
Liberto
Maria Carla
MC
Department of Medical Sciences, Institute of Microbiology, University of Catanzaro, Catanzaro, Italy. mliberto@unicz.it
Matera
Giovanni
G
Puccio
Rossana
R
Barbieri
Vincenzo
V
Quirino
Angela
A
Capicotto
Renata
R
Guadagnino
Vincenzo
V
Pardatscher
Kurt
K
Focà
Alfredo
A
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
D000900:Anti-Bacterial Agents