Immunocompetent young man with cerebral abscess and cortical venous infarction mimicking cerebritis caused by Gemella morbillorum.
Gemella morbillorum is an anaerobic gram-positive diplococcus and in most cases a harmless commensal, which occasionally causes infections in the central nervous system. We report on an immunocompetent young man with focal neurological symptoms and cephalgia caused by a cerebral abscess. Although successful treatment was done with neurosurgical intervention and antibiotic therapy, he suffered from a venous infarction 5 weeks after first diagnosis, which mimicked cerebritis as an early stage of relapsing abscess. Imaging and investigation of cerebrospinal fluid was necessary for sufficient differential diagnosis and antibiotic therapy could be stopped after altogether 8 weeks of treatment. In summary, G morbillorum causes not only biphasic infections, but also can be accompanied by infarction in the central nervous system despite sufficient antibiotic therapy.
Department of Neurology, University Medical Center Magdeburg A.ö.R, Magdeburg, Germany. annette.milnik@unibas.ch
Annette
A
Milnik
Angelos
A
Gazis
Ina
I
Tammer
Claudius
C
Bartels
D000328:Adult; D001922:Brain Abscess / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D003937:Diagnosis, Differential; D058834:Gemella; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male