title: [Actinomycotic brain abscess in immunocompetent patient].
abstract: BACKGROUND
  The actinomyces is germ commonly found in the normal flora of the oral cavity and gastro-intestinal and uro-genital tracts. Involvement in other locations is a very uncommon event.
  
  
  OBJECTIVE
  To describe a patient with an actinomicotyc brain abscess CLINICAL CASE: We report the case of a patient who suffered a seizure and decreased level of consciousness. Imaging tests revealed the presence of lesions both in the lung and in the brain. An urgent craniotomy was performed and the diagnosis of actinomicotyc abscess was obtained.
  
  
  CONCLUSIONS
  We describe the differential characteristics of this type of infection, discussing the diagnostic process and management in detail.
authors.affiliation: Servicio de Neurocirugía, Hospital Universitario Donostia, Donostia, Guipúzcoa, España.
authors.forename: Mikel
authors.initials: M
authors.lastname: Armendariz-Guezala
authors.affiliation: Servicio de Neurocirugía, Hospital Universitario Donostia, Donostia, Guipúzcoa, España. Electronic address: joseundabeitia@hotmail.com.
authors.forename: José
authors.initials: J
authors.lastname: Undabeitia-Huertas
authors.affiliation: Servicio de Neurocirugía, Hospital Universitario Donostia, Donostia, Guipúzcoa, España.
authors.forename: Nicolás
authors.initials: N
authors.lastname: Samprón-Lebed
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Donostia, Donostia, Guipúzcoa, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Michan-Mendez
authors.affiliation: Servicio de Anatomía Patológica, Hospital Universitario Donostia, Donostia, Guipúzcoa, España.
authors.forename: Irune
authors.initials: I
authors.lastname: Ruiz-Diaz
authors.affiliation: Servicio de Neurocirugía, Hospital Universitario Donostia, Donostia, Guipúzcoa, España.
authors.forename: Enrique
authors.initials: E
authors.lastname: Úrculo-Bareño
mesh_terms: D000196:Actinomycosis / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D060085:Coinfection; D003131:Combined Modality Therapy; D003399:Craniotomy; D003937:Diagnosis, Differential; D004630:Emergencies; D005625:Frontal Lobe / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D006261:Headache / Q000209:etiology; D006801:Humans; D007121:Immunocompetence; D008172:Lung Diseases, Fungal / Q000150:complications / Q000382:microbiology; D008279:Magnetic Resonance Imaging; D008297:Male; D059906:Neuroimaging; D010243:Paralysis / Q000209:etiology; D012640:Seizures / Q000209:etiology; D013290:Streptococcal Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D034367:Streptococcus intermedius / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents
keywords: Absceso cerebral; Actinomyces; Brain abscess; Infección; Infection