Subdural Empyema Due to Lactococcus lactis cremoris: Case Report
| Autor: | Hiroki Uchida, Shinya Koyama, Tatsuya Sasaki, Michiharu Nishijima, Mizuho Inoue, Atsushi Saito, Shinya Haryu, Hiroyuki Kon |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment abscess Case Report Dental Caries Fluid-attenuated inversion recovery Lactococcus lactis cremoris medicine Humans Diagnostic Errors Subdural space Abscess Brain abscess Gram-Positive Bacterial Infections Craniotomy Subdural empyema Empyema Subdural Ethmoid Sinusitis biology business.industry Lactococcus lactis Meropenem Trigeminal Neuralgia Decompression Surgical Maxillary Sinusitis medicine.disease biology.organism_classification Combined Modality Therapy Magnetic Resonance Imaging subdural empyema Empyema Surgery Diffusion Magnetic Resonance Imaging medicine.anatomical_structure Ampicillin Thienamycins Neurology (clinical) business Immunocompetence |
| Zdroj: | Neurologia medico-chirurgica |
| ISSN: | 1349-8029 0470-8105 |
| DOI: | 10.2176/nmc.cr2012-0440 |
| Popis: | Lactococcus lactis cremoris (L. lactis cremoris) infections are very rare in humans. Only three case reports of brain abscess have been reported and the infectious routes and pathological features are still unknown. We experienced a subdural empyema due to L. lactis cremoris in an immunocompetent adult. A 33-year-old man was admitted with fever, right facial pain, left hemiparesis, and left hemianopsia. Computed tomography demonstrated low density fluid collection in the right falcotentorial subdural space. Magnetic resonance (MR) images revealed a high signal lesion on a diffusion-weighted image (DWI) and fluid attenuated inversion recovery (FLAIR) images in the right paratentorial and parafalcine subdural space, right maxillary sinus, and bilateral ethmoidal sinus. He underwent two sequential open surgeries for removal and drainage of empyema and was treated with antibiotics including meropenem and ampicillin. To our knowledge, this is the first report of subdural empyema caused by L. lactis cremoris infection. We report the case and discuss the pathological features with the previous literature. |
| Databáze: | OpenAIRE |
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