Liu Heng-Wei, Chang Chih-Ju, Hsieh Cheng-Ta
Division of Neurosurgery, Department of Surgery, Shin Kong Wu Ho-Su Hospital, Taipei, Taiwan.
Neurosciences (Riyadh). 2015 Apr;20(2):170-2. doi: 10.17712/nsj.2015.2.20140749.
Citrobacter koseri is a gram-negative bacillus that causes mostly meningitis and brain abscesses in neonates and infants. However, brain abscess caused by Citrobacter koseri infection in an adult is extremely rare, and only 2 cases have been described. Here, we reported a 73-year-old male presenting with a 3-week headache. A history of diabetes mellitus was noted. The images revealed a brain abscess in the left frontal lobe and pus culture confirmed the growth of Citrobacter koseri. The clinical symptoms improved completely postoperatively.
科氏柠檬酸杆菌是一种革兰氏阴性杆菌,主要引起新生儿和婴儿的脑膜炎和脑脓肿。然而,由科氏柠檬酸杆菌感染引起的成人脑脓肿极为罕见,仅有2例报道。在此,我们报告了一名73岁男性,有3周的头痛症状。有糖尿病病史。影像学检查显示左额叶有一个脑脓肿,脓液培养证实有科氏柠檬酸杆菌生长。术后临床症状完全改善。