[Clostridial brain abscess after glioblastoma resection: case report and critical review of the literature].
Clostridium perfringens is rare in neurosurgery. The source of clostridial brain abscess is usually a penetrating head injury. We report the case of a 57-year-old man who had parietal glioblastoma resection with local carmustine chemotherapy and who presented a clostridial brain abscess three weeks later. Progression was especially brutal, leading to patient's death in few hours. We discuss the etiology and progression of this case compared to the data reported in the literature.
Duntze
J
J
Service de neurochirurgie, hôpital Maison-Blanche, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
Litré
C-F
CF
Bajolet
O
O
Theret
E
E
Eap
C
C
Peruzzi
P
P
Rousseaux
P
P
D018906:Antineoplastic Agents, Alkylating / Q000009:adverse effects / Q000627:therapeutic use; D001922:Brain Abscess / Q000209:etiology* / Q000382:microbiology*; D001932:Brain Neoplasms / Q000150:complications / Q000601:surgery* / Q000628:therapy; D002330:Carmustine / Q000009:adverse effects / Q000627:therapeutic use; D003015:Clostridium Infections / Q000209:etiology* / Q000382:microbiology*; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D005909:Glioblastoma / Q000150:complications / Q000601:surgery* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000382:microbiology*; D014057:Tomography, X-Ray Computed
D018906:Antineoplastic Agents, Alkylating; D002330:Carmustine