Brain abscess caused by Porphyromonas gingivalis and Eubacterium nodatum mimicking acute stroke

We described a case of a 65-year-old man with a brain abscess caused by Porphyromonas gingivalis and Eubacterium nodatum. The patient presented right central facial nerve palsy, mutism and right hemiparesis at the examination. The patient underwent a left frontal craniotomy with evacuation of the brain abscess. Specimens were collected for microbiological analysis and intravenous treatment was started with levetiracetam, dexamethasone, meropenem (1 g/8 h) and linezolid (600 mg/12 h). After identification of anaerobic bacteria the antibiotic treatment was changed to piperacillin/tazobactam (4 g/0,5 g/8 h), fulfilling 8 weeks of antibiotic with good clinical and radiological evolution.PMID:38007215 | DOI:10.1016/j.anaerobe.2023.102801

Source: Anaerobe - November 25, 2023 Category: Microbiology Authors: Domingo Fern ández Vecilla Mary Paz Roche Matheus Mikel Urrutikoetxea Guti érrez Gotzon Iglesias Hidalgo Cristina Aspichueta Vivanco Jos é Luis Díaz de Tuesta Del Arco Source Type: research