Cerebral manifestation of an actinomycosis infection. A case report.
1996; National Institutes of Health; Volume: 40; Issue: 2 Linguagem: Inglês
Autores
M. Winking, Wolfgang Deinsberger, Christoph Schindler, A. Joedicke, D K Boeker,
Tópico(s)Meningioma and schwannoma management
ResumoAffection of the CNS by actinomycosis is a rare but treatable manifestation of an infection with actinomyces israeli. Neurological involvement includes a meningeal, granulomatous and also pseudotumoral form. We report the case of a patient suffering from an intracerebral actinomycosis abscess. The source of infection was the upper jaw. After a right frontal craniotomy the intracerebral abscess was removed. Postoperatively the patient received initially a combined antiedemateous and antibiotic therapy with 12 mg dexamethasone and 6 g cefotaxime and 3 g amoxicilline. After 4 weeks of treatment with improving neurological deficits dexamthasone therapy was reduced followed by an exclusive antibiotic therapy for another 4 weeks. During this time the patient recovered completely.
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