Sasmanto Suharyadi, Wasito Eddy Bagus
Study Program of Clinical Microbiology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Department of Clinical Microbiology, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Int J Surg Case Rep. 2022 Aug;97:107450. doi: 10.1016/j.ijscr.2022.107450. Epub 2022 Jul 23.
Odontogenic brain abscess is a rare case primarily caused by normal flora such as Anaerococcus prevotii.
A 60-years-old Indonesian female complained of severe left side headaches, hearing loss, a decrease of consciousness, several episodes of nausea and vomiting, and hemiparesis dextra for 5 days. Three months previously, she performed dental operative procedures on the left side of the first and second lower molar and debridement of phlegmon on the left side of the mouth. Head CT scan suggests multiple brain abscesses or high-grade glioma, non-communicating hydrocephalus and suggestive mastoiditis. The patient underwent excision surgery and abscess culture, which resulted in Anaerococcus prevotii. The patient received a metronidazole antibiotic, and on the seventh day, his condition improved.
Identifying bacterial infection in the brain abscess is crucial for effective treatment. Abscess removal in the brain and antibiotics are treatments for brain abscesses.
Odontogenic brain abscess caused by Anaerococcus prevotii infection effectiveness with surgical excision and antibiotics.
牙源性脑脓肿是一种罕见病例，主要由普氏厌氧球菌等正常菌群引起。
一名60岁的印度尼西亚女性，主诉严重的左侧头痛、听力丧失、意识减退、多次恶心呕吐，以及右侧偏瘫5天。3个月前，她接受了左侧第一和第二下颌磨牙的牙科手术以及左侧口腔蜂窝织炎的清创术。头部CT扫描提示多发脑脓肿或高级别胶质瘤、梗阻性脑积水并提示乳突炎。患者接受了切除手术及脓肿培养，结果为普氏厌氧球菌。患者接受了甲硝唑抗生素治疗，第7天时病情好转。
明确脑脓肿中的细菌感染对于有效治疗至关重要。脑脓肿的切除及抗生素治疗是脑脓肿的治疗方法。
由普氏厌氧球菌感染引起的牙源性脑脓肿，手术切除及抗生素治疗有效。
