Costanzo Roberta, Scalia Gianluca, Ponzo Giancarlo, Furnari Massimo, Iacopino Domenico Gerardo, Nicoletti Giovanni Federico, Umana Giuseppe Emmanuele
Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, AOUP "Paolo Giaccone," Palermo.
Department of Neurosurgery, Highly Specialized Hospital of National Importance "Garibaldi," Catania, Sicily, Italy.
Surg Neurol Int. 2022 Sep 16;13:416. doi: 10.25259/SNI_742_2022. eCollection 2022.
species are an unusual cause of cerebral abscess in infant. In particular, can invade and replicate in human brain microvascular endothelial cells with a selective neurovirulence, producing ventriculitis and brain abscess mainly in the infant. A delayed brain abscess caused by species in adult patients and after surgery is an occurrence that has not yet been reported in the literature.
The authors reported a case of a 60-year-old patient that presented a delayed postoperative brain abscess following resection of a left parietal convexity meningioma. A resurgery was performed, with bone flap removal, debridement, and culture of the purulent content of the previous surgical cavity. The microbiological examination showed the isolation of . Postoperatively, the patient improved, with progressive headache reduction and right upper limb weakness improvement. She was continued on medical therapy for 4 weeks, until inflammatory index and white blood cells count gained normal range, then, she was admitted to a neurorehabilitation center.
A delayed brain abscess caused by in adult patients and after surgery is an occurrence that has not yet been reported in the literature, with a consequent complex management, due to the lack of clear guidelines.
该物种是婴儿脑脓肿的不寻常病因。特别是,它能够以选择性神经毒性侵入人脑微血管内皮细胞并在其中复制,主要在婴儿中引发脑室炎和脑脓肿。由该物种引起的成人患者术后延迟性脑脓肿在文献中尚未有报道。
作者报告了一例60岁患者,在切除左顶叶凸面脑膜瘤后出现术后延迟性脑脓肿。进行了再次手术,包括去除骨瓣、清创以及对先前手术腔的脓性内容物进行培养。微生物学检查显示分离出该物种。术后,患者病情改善,头痛逐渐减轻,右上肢无力症状改善。她继续接受了4周的药物治疗,直到炎症指标和白细胞计数恢复正常范围,然后被收治到神经康复中心。
由该物种引起的成人患者术后延迟性脑脓肿在文献中尚未有报道,由于缺乏明确的指南,因此管理起来较为复杂。