A Case Report of Cerebellar Abscess Caused by Bacteroides fragilis

Doğan M^1, , Keskin F², Feyzioğlu B¹, Baykan M¹, Özdemir M¹, Kalkan E² and Baysal B¹

¹Department of Medical Microbiology, Meram Medical School, Necmettin Erbakan University, Konya, Turkey

²Department of Neurosurgery, Meram Medical School, Necmettin Erbakan University, Konya, Turkey

Cite this paper

Doğan M, Keskin F, Feyzioğlu B, Baykan M, Özdemir M, Kalkan E and Baysal B. A Case Report of Cerebellar Abscess Caused by Bacteroides fragilis. American Journal of Clinical Medicine Research. 2013; 1(4):48-50. doi: 10.12691/AJCMR-1-4-1

Abstract

50 year old female patient who has headache, dizziness, and nausea-vomiting was admitted to neurosurgery clinic, and an image that was suggestive of an abscess was detected in the cerebellum by means of MRI (Magnetic resonance imaging). This cerebellar abscess was resected together with capsule by right paramedian suboccipital craniotomy, and ceftriaxone and metronidazole treatment was ordered empirically. In the microbiological examination by Gram stain, no micro-organisms were seen. Microorganism was detected on the anaerobic culture and was identified as B. fragilis. Metronidazole was susceptible according to the antibiotic susceptibility test results, so this treatment was continued. The patient was discharged by healing. In diagnosis and treatment of these kinds of patients, it should be considered that B. fragilis can be cause of abscess in the brain.

Keywords

brain abscess, anaerobic bacteria, Bacteroides fragilis

Copyright

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References

[1]	Kıyan, M, [Anaerobic bacteria], In: Ustaçelebi Ş (ed), [Basic and Clinical Microbiology], GüneşKitabevi, Ankara, 1999, 611-622.
[2]	Gürler, N, [Anaerobic infections and laboratory diagnosis],In: Ulusoy S, Leblebicioğlu H (ed), [Anaerobic Bacterial Infections], Bilimsel Tıp, Ankara, 2005, 9-34.
[3]	Winn, W.C, Koneman, E.W, Allen, S.D, Procop, G.W, Janda, W.M, Schreckenberger, P.C, et al, The Anaerobic Bacteria, Konemans Color Atlas and Textbook of Diagnostic Microbiology, Lippincott Williams & Wilkins, Philadelphia, 2006, 877-944.
[4]	Sanders, C.V. and Aldridge, K,E, “Current antimicrobial therapy of anaeropic infections”, Eur J ClinMicrobiol Infect Dis, 11(11). 999-1011. 1992.
[5]	Brook, I, “Anaerobic bacteria in upper respiratory tract and head and neck infections: Microbiology and treatment”, Anaerobe, 18 (2), 214-220.2012.
[6]	Ndoye, N., Hossini, A., Ba M.C., Faye, M.B., Thiam, A.B., Tine, I., Camara, B., Sakho. Y.andBadiane.S.B,“Abscess of the posterior cranial fossa.Report of 4 cases”, Med Trop (Mars), 67 (5).485-489.Oct .2007.
[7]	Marina, M., Ivanova, K., Ficheva, M. and Fichev, G, “Bilophila wadsworthia in Brain Abscess: Case Report”, Anaerobe, 3 (3).107-109.1997.
[8]	Cox, K.A., Al-Rawahi, G. and Kollmann, T.R, “Anaerobic brain abscess following chronic suppurative otitis media in a child from Uganda”, Can J Infect Dis Med Microbiol, 20 (3).91-93.2009.
[9]	Jang, J.H., Sim, S.Y., Lee, J.Y. and Bang, J.H, “Atypical metronidazole-ınduced encephalopathy in anaerobic brain abscess”, J Korean NeurosurgSoc,52 (3).273-276.Sep.2012.
[10]	Shimohata, M., Naruse, S., Kawasaki, S., Watanabe, Y., Koyama, M., Ito, Y. and Tanaka, H, “Brain abscess due to Fusobacterium necrophorum in a patient with convulsion and no signs of meningitis”, RinshoShinkeigaku, 52 (6). 429-432. 2012.
[11]	Tokatli, A., Kanra, G., Ayhan, Z., Kocoglu, T., Secmeer, G. and Oran, O,“A cerebellar abscess caused by anaerobic and aerobic (mixed) microorganisms” MikrobiyolBul, 18 (4). 208-212.Oct.1984.
[12]	Tezel, K., Yılmaz, N., Akbay, F.Y., Aslantürk, Y., Bostancı, U. and Taşkın, Y,“[Results of surgical treatment in intracranial abscesses]”,TAD, 4 (1).1-4. 2006.
[13]	Doğan, M. andBaysal, B, “Identification of anaerobic bacteria isolated from various clinical specimens and determination of antibiotic susceptibilities”, MikrobiyolBul, 44 (2). 211-119. Apr. 2010.