Unusual manifestation of Helicobacter cinaedi infection: a case report of intracranial subdural empyema and bacteremia
| Autor: | Shingaku Kaneko, Masakazu Yoshida, Junko Tomida, Yoshiaki Kawamura, Toshimasa Hayashi, Ikuyo Yokozawa |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty 030106 microbiology Bacteremia Case Report Meropenem law.invention Helicobacter Infections 03 medical and health sciences Helicobacter cinaedi 0302 clinical medicine Anti-Infective Agents law Helicobacter medicine Humans Blood culture Antimicrobial susceptibility testing Abscess Subdural empyema Empyema Subdural biology medicine.diagnostic_test business.industry Ceftriaxone Intracranial subdural empyema Middle Aged biology.organism_classification medicine.disease bacterial infections and mycoses Surgery Anti-Bacterial Agents Infectious Diseases Gram staining Treatment Outcome Drainage Thienamycins business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | BMC Infectious Diseases |
| ISSN: | 1471-2334 |
| Popis: | Background There have been various reports concerning Helicobacter cinaedi infections. However, few reports have examined central nervous system infections. Case presentation A 52-year-old man was transferred from the local hospital because of a persistent headache and suspected intracranial subdural empyema. Neurosurgical drainage was performed via burr holes. Gram staining and results from abscess cultures were negative. The blood culture yielded H. cinaedi. He was given an antibiotic regimen consisting of 2 g of ceftriaxone twice a day, but the size of the abscess was not reduced in size at all after 3 weeks of treatment. Neurosurgical drainage was performed again, and the antimicrobial regimen was switched to 2 g of meropenem 3 times a day. The size of the abscess was reduced after 2 weeks of the second drainage and antimicrobial drug change to meropenem. After 4 weeks treatment with meropenem, the patient was discharged, and his symptoms had completely resolved. Conclusions H. cinaedi infection should be considered in the differential diagnosis of subdural empyema cases for which Gram staining and abscess culture results are negative. Meropenem can be a first-line drug of choice or an effective alternative treatment for H. cinaedi central nervous system infections. |
| Databáze: | OpenAIRE |
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