Elmi Saad Moussa, Obame Fresnel Lutèce Ontsi, Dokponou Yao Christian Hugues, Yassin Madina Rabileh, Attari Soufiyan El, El Asri Abad C Chérif, Gazzaz Miloudi
Department of Neurosurgery, Military Teaching Hospital Mohammed V of Rabat, Mohammed V Faculty of Medecine and Pharmacy of Rabat, Morocco.
Department of Radiology, Military Teaching Hospital Mohammed V of Rabat, Mohammed V Faculty of Medecine and Pharmacy of Rabat, Morocco.
Surg Neurol Int. 2024 Jan 12;15:7. doi: 10.25259/SNI_759_2023. eCollection 2024.
is a Gram-negative enteric rod found in the intestinal tracts of humans, mammals, and reptiles as normal flora. It is highly implicated in urinary tract infections, wound infections, and septicemia. The cerebral nervous system, especially brain abscess attributed to , remains extremely rare. To the best of the author's knowledge, only eight documented cerebral brain abscesses caused by have been reported in the literature.
A 48-year-old man presented with headache, fever, and irritability two months after endoscopic endonasal repair of the cranial base defect. Following imaging studies, a large left frontal abscess was found. The patient underwent a fine-needle aspiration through a burr hole following antimicrobial therapy.
We report this case to create awareness among neurosurgeons and microbiologists that , even though uncommon, is a cause of cerebral brain abscess. Prompt surgical management and appropriate antimicrobial therapy is the treatment of choice.
是一种革兰氏阴性肠道杆菌，作为正常菌群存在于人类、哺乳动物和爬行动物的肠道中。它与尿路感染、伤口感染和败血症密切相关。由其引起的累及中枢神经系统，尤其是脑脓肿，极为罕见。据作者所知，文献中仅报道了8例由引起的有记录的脑脓肿病例。
一名48岁男性在经鼻内镜颅底缺损修复术后两个月出现头痛、发热和烦躁不安。经影像学检查，发现左侧额叶有一个大脓肿。患者在接受抗菌治疗后通过钻孔进行了细针穿刺抽吸。
我们报告此病例，以提高神经外科医生和微生物学家的认识，即尽管罕见，但仍是脑脓肿的病因之一。及时的手术治疗和适当的抗菌治疗是首选的治疗方法。
