Liberto Maria Carla, Matera Giovanni, Puccio Rossana, Barbieri Vincenzo, Quirino Angela, Capicotto Renata, Guadagnino Vincenzo, Pardatscher Kurt, Focà Alfredo
Department of Medical Sciences, Institute of Microbiology, University of Catanzaro, Catanzaro, Italy.
Jpn J Infect Dis. 2006 Apr;59(2):126-8.
A case of deep brain abscess by Gemella morbillorum is described. Due to high fever, lethargy, severe headache, and the risk of intraventricular rupture of the suppurative lesion, a CT-guided stereotactic aspiration of the abscess was successfully performed. The patient responded well to a 6-week course of meropenem, metronidazole, and fluconazole. Gemella spp. should not be considered as trivial commensals of the mucous membranes, but appear as emerging pathogens involved in endocarditis, septic shock, and necrotizing pneumonia, as well as in serious intracranial infections.
本文描述了一例由麻疹孪生球菌引起的深部脑脓肿病例。由于患者出现高热、嗜睡、严重头痛，且存在化脓性病变脑室破裂的风险，遂成功进行了CT引导下的脓肿立体定向抽吸术。患者对美罗培南、甲硝唑和氟康唑为期6周的疗程反应良好。麻疹孪生球菌不应被视为黏膜的普通共生菌，而应被视为参与心内膜炎、感染性休克、坏死性肺炎以及严重颅内感染的新兴病原体。
