Failure of intravenous antibiotic therapy of multiple temporal brain abscesses due to Propionibacterium acnes requiring temporal lobectomy

Détails

ID Serval
serval:BIB_BF0317546133
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Failure of intravenous antibiotic therapy of multiple temporal brain abscesses due to Propionibacterium acnes requiring temporal lobectomy
Périodique
Journal of Infection
Auteur(s)
Senneville  E., Savage  C., Lamy  O., Fawaz  A., Bourez  J., Ajana  F., Dubreuil  L., Chidiac  C., Mouton  Y.
ISSN
0163-4453 (Print)
Statut éditorial
Publié
Date de publication
05/1997
Volume
34
Numéro
3
Pages
269-71
Notes
Case Reports
Journal Article --- Old month value: May
Résumé
Propionibacterium acnes is a common skin colonizer. Its involvement in brain abscesses is generally described as a complication of neurosurgical intervention. Propionibacterium acnes is susceptible to antibiotics used as treatment of anaerobic infections, except for the 5-nitroimidazoles. Surgical excision or drainage of a simple abscess combined with a long course of antibiotics is considered the treatment of choice. A case of a patient with multiple brain abscesses located in the right temporal lobe that occurred after the manipulation of an abscess of the right upper maxillary is reported. The patient did not improve despite a prolonged course of high-dose intravenous penicillin plus thiamphenicol and cure was finally obtained after the excision of the right temporal lobe. Culture of the purulent material and the shell of the abscesses yielded P. acnes which was sensitive to all the antibiotics administered to the patient up to the intervention. The temporal lobectomy was followed by a 6-month course of ofloxacin. One year after the intervention, the patient remained apyretic without any other abscess on cranial computed tomography scan.
Mots-clé
Adult Anti-Bacterial Agents/therapeutic use Brain Abscess/drug therapy/*surgery Gram-Positive Bacterial Infections/*surgery Humans Male *Propionibacterium acnes Temporal Lobe/*surgery
Pubmed
Web of science
Création de la notice
25/01/2008 14:55
Dernière modification de la notice
20/08/2019 16:33
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