反复牙周操作后发生腐蚀艾肯菌脑脓肿，经亚胺培南及神经外科手术治愈。

Eikenella corrodens brain abscess after repeated periodontal manipulations cured with imipenem and neurosurgery.

作者信息

Asensi V, Alvarez M, Carton J A, Lago M, Maradona J A, Asensi J M, Arribas J M

机构信息

Infectious Diseases Unit, Hospital Central de Asturias, Oviedo University Medical School, Spain.

出版信息

Infection. 2002 Aug;30(4):240-2. doi: 10.1007/s15010-002-2004-6.

DOI:10.1007/s15010-002-2004-6

PMID:12236570

Abstract

Eikenella corrodens is a facultatively anaerobic gram-negative rod that colonizes the oral cavity and very rarely produces central nervous system (CNS) infections. Frontal lobe abscesses are occasionally associated with a dental source of infection. We report a case of an adult man with overzealous dental cleaning habits who developed a right frontal brain abscess caused by E. corrodens. He underwent neurosurgical drainage of the pus and was successfully treated with imipenem 4 g/i.v./day for 4 weeks with no complications. Repeated periodontal trauma could explain the Eikenella brain abscess in this case.

摘要

腐蚀埃肯菌是一种兼性厌氧革兰氏阴性杆菌，定植于口腔，很少引起中枢神经系统（CNS）感染。额叶脓肿偶尔与牙源性感染有关。我们报告一例成年男性病例，该患者有过度用力清洁牙齿的习惯，因腐蚀埃肯菌导致右侧额叶脑脓肿。他接受了神经外科脓液引流，并成功接受了亚胺培南4g/静脉注射/天，持续4周的治疗，无并发症。反复的牙周创伤可以解释该病例中的埃肯菌脑脓肿。