title: Staphylococcus aureus brainstem abscess in a Brazilian Amazon man. Case report.
abstract: The brainstem is an uncommon site for a brain abscess. It accounts for less than 4% of all posterior cranial fossa abscesses, and less than 1% of all intracranial abscesses. The pons is the most common site for these abscesses. The aim of the present report was to describe the case of a Brazilian Amazon man with a brainstem abscess (BSA) managed with combined surgical drainage and systemic antibiotic therapy. This case reinforces the importance of an early suspicion of BSA in patients with unexplained fever and neurologic deficits, especially sixth and seventh cranial nerve lesions, to minimize permanent damage.
authors.affiliation: Department of Neurosurgery, Hospital Ophir Loyola, Belém, Pará, Brazil.
authors.forename: de Nazareth
authors.initials: de N
authors.lastname: Hermes
authors.forename: E L
authors.initials: EL
authors.lastname: Rodrigues Pereira
authors.forename: D E
authors.initials: DE
authors.lastname: Castro Ribeiro
authors.forename: G
authors.initials: G
authors.lastname: Da Silva Mello
authors.forename: D C
authors.initials: DC
authors.lastname: Hartuique Rodrigues
authors.forename: L
authors.initials: L
authors.lastname: Crociati Meguins
authors.forename: V H
authors.initials: VH
authors.lastname: Toyoki Motoki Teixeira
authors.forename: J
authors.initials: J
authors.lastname: De Souza Rogério
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D002443:Ceftriaxone / Q000627:therapeutic use; D020806:Central Nervous System Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D010068:Oxacillin / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D008795:Metronidazole; D002443:Ceftriaxone; D010068:Oxacillin