Tsubouchi M H, Arruda W O, Pedrozo A A, Meneses M S, Ramina R, Bleggi-Torres L F
Unidade de Ciências Neurologicas, Curitiba, Brasil.
Arq Neuropsiquiatr. 1995 Sep;53(3-A):498-502.
A 38 year-old man presented fever and a clinical picture of intracranial hypertension and ataxic syndrome. A CT-scan disclosed an expanding lesion of the cerebellum. Surgical excision of the lesion was performed and pathological examination made the diagnosis of an actinomycotic abscess. The probable primary source of infection were the lungs and/or oral cavity. The postoperative course was uneventful, with complete recovery after a long period of treatment with penicillin (IV and PO). The authors review some aspects about central nervous system involvement in actinomycosis.
一名38岁男性出现发热、颅内高压临床表现及共济失调综合征。CT扫描显示小脑有一扩大性病变。对该病变进行了手术切除，病理检查诊断为放线菌性脓肿。可能的原发感染源是肺和/或口腔。术后病程顺利，经长期青霉素（静脉及口服）治疗后完全康复。作者回顾了放线菌病累及中枢神经系统的一些方面。
