title: Multiple brain abscesses due to Actinomyces species.
abstract: We report a case of multiple brain abscesses due to Actinomyces species in a 35-year-old immunocompetent man who presented with a 2-month history of headache, diplopia, fever, and weight loss. Despite receipt of broad-spectrum antibiotics for over a month, he continued to have headaches and diplopia. He subsequently underwent right anterior temporal lobectomy and evacuation of abscesses. The diagnosis was aided by identification of sulfur granule on histopathological examination of cerebral cavitary lesion and Gram-positive filamentous rods seen on tissue-Gram stain.
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA. o-adeyemi@northwestern.edu
authors.forename: Oluwadamilola A
authors.initials: OA
authors.lastname: Adeyemi
authors.forename: Numa
authors.initials: N
authors.lastname: Gottardi-Littell
authors.forename: Kenji
authors.initials: K
authors.lastname: Muro
authors.forename: Khadidjatou
authors.initials: K
authors.lastname: Kane
authors.forename: John P
authors.initials: JP
authors.lastname: Flaherty
mesh_terms: D000196:Actinomycosis / Q000150:complications / Q000382:microbiology*; D000328:Adult; D038481:Anterior Temporal Lobectomy; D001922:Brain Abscess / Q000150:complications / Q000382:microbiology*; D004172:Diplopia / Q000209:etiology; D005334:Fever / Q000209:etiology; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures; D014057:Tomography, X-Ray Computed; D015431:Weight Loss