Brain Abscess Caused by Nocardia: Case Report and Literature Review

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0040-1719124 ◽

2020 ◽

Author(s):

Guilherme Finger ◽

Maria Eduarda Conte Gripa ◽

Tiago Paczko Bozko Cecchini ◽

Tobias Ludwig do Nascimento

Keyword(s):

Case Report ◽

Antibiotic Therapy ◽

Brain Abscess ◽

Clinical Signs ◽

Occipital Lobe ◽

High Morbidity ◽

Rare Clinical Entity ◽

Brain Abscesses

AbstractNocardia brain abscess is a rare clinical entity, accounting for 2% of all brain abscesses, associated with high morbidity and a mortality rate 3 times higher than brain abscesses caused by other bacteria. Proper investigation and treatment, characterized by a long-term antibiotic therapy, play an important role on the outcome of the patient. The authors describe a case of a patient without neurological comorbidities who developed clinical signs of right occipital lobe impairment and seizures, whose investigation demonstrated brain abscess caused by Nocardia spp. The patient was treated surgically followed by antibiotic therapy with a great outcome after 1 year of follow-up.

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Successfully treated multiple brain abscess in a newborn: a case report

Romanian Neurosurgery ◽

10.1515/romneu-2017-0026 ◽

2017 ◽

Vol 31 (2) ◽

pp. 172-177

Author(s):

Aleksic Vuk ◽

Mihajlovic Miljan ◽

Zivković Nenad ◽

Misela Raus ◽

Marko Samardzic ◽

...

Keyword(s):

Case Report ◽

Antibiotic Therapy ◽

Brain Abscess ◽

Ventriculoperitoneal Shunt ◽

Combined Therapy ◽

Late Complication ◽

Primary Source ◽

Medical Problem ◽

High Morbidity ◽

Brain Abscesses

Abstract Multiple brain abscesses are exceedingly uncommon in newborns and represent a serious medical problem associated with high morbidity and mortality. Treatment is also controversial issue, and can require surgery, abscess aspiration, antibiotic therapy, and eradication of the primary source. We report a case of successfully treated multiple brain abscess in a newborn with combined therapy which consisted of abscess aspiration and prolonged antibiotics. Patient developed hydrocephalus as late complication which was also successfully treated with ventriculoperitoneal shunt.

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Challenges in Management of Bartholin gland Leiomyoma: A Case Report

10.21203/rs.3.rs-34158/v1 ◽

2020 ◽

Author(s):

Angela Vinturache ◽

Lamiese Ismail ◽

Stephen Damato ◽

Hooman Soleymani Maid

Keyword(s):

Case Report ◽

Case Reports ◽

Symptom Control ◽

Clinical Signs ◽

Signs And Symptoms ◽

Postoperative Recovery ◽

Long Term Follow Up ◽

Vulvar Mass

Abstract Background: Leiomyomas are uncommon vulvar neoplasms often misdiagnosed as other Bartholin gland pathology. Due to their rarity and the absence of guidelines, their diagnosis and management remain challenging, largely based on expert opinion and evidence from case reports. Case Presentation: This case report describes a 44-year-old woman presenting with accelerating growth of a vulvar mass. Based on clinical signs and symptoms, the initial diagnosis was Bartholin cyst. Surgical excision was provided for symptom control and aesthetic reasons. The histopathologic diagnosis was vulvar leiomyoma. The postoperative recovery was complicated by secondary haematoma and dehiscence of the surgical site. There was no recurrence at two years follow up. Therefore, we discuss the dilemma posed by physical examination of a vulvar mass, the challenges of the management, and report on secondary morbidity and long-term follow up, aspects of care for patients with vulvar pathology not commonly addressed in the literature. Conclusions: Bartholin gland neoplasms are rare tumors, commonly misdiagnosed as Bartholin’s cysts. Excision is the treatment of choice. Short time follow up allows prompt management of potential postoperative complications. Continuing long term follow up is recommended due to recurrence risk.

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Management of Intracranial Abscess - Study of 30 cases

TAJ Journal of Teachers Association ◽

10.3329/taj.v16i2.3887 ◽

1970 ◽

Vol 16 (2) ◽

pp. 73-75

Author(s):

Md L Rahman ◽

ML Rahman ◽

S Hossain ◽

ASMS Ali ◽

SK Pramanik ◽

...

Keyword(s):

Mortality Rate ◽

Antibiotic Therapy ◽

Brain Abscess ◽

Diagnostic Tools ◽

Intracranial Abscess ◽

Multiple Abscess ◽

Brain Abscesses ◽

Burr Hole Evacuation ◽

Made In

Brain abscess may be solitary or multiple. They appear as areas of ill-defined cerebritis tomature well defined focal suppurative lesion with capsulated abscesses. Multiple brain abscessrecognized in as many as 50% of patients. In this study 30 patients were analyzed. Solitary brainabscess were more than multiple abscess. Age ranges from 6 years to 35 years. Male to femaleratio was 5:1. Intra parenchymal brain abscess occurred in all cases (100%), subdural orextradural lesions were nil. Brain abscesses were associated with CSOM. CT scan done in all(100%) patients as diagnostic tools. All (100%) patients under went Burr-hole evacuation withbroad-spectrum antibiotic therapy and 2 patients (06.66%) treated with long term anti tuberculartherapy. V-P shunt was made in 1 patient (03.33%) who had persistent venriculomegaly. In thisstudy mortality rate was zero.doi: 10.3329/taj.v16i2.3887TAJ December 2003; Vol.16(2): 73-75

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Long-Term Effects of Resistance Training on body Composition, Physical Fitness and Bone Mineral Density in a Osteopenia Elderly Woman : A Case Report with 3-Year Follow-Up

The Korean Journal of Growth and Development ◽

10.34284/kjgd.2018.02.26.1.111 ◽

2018 ◽

Vol 26 (1) ◽

pp. 111-117

Author(s):

Seon-young Lee ◽

Sang-won Seo ◽

Sang-hyup Song ◽

Ho-seong Lee

Keyword(s):

Bone Mineral Density ◽

Body Composition ◽

Case Report ◽

Resistance Training ◽

Physical Fitness ◽

Elderly Woman ◽

Long Term Effects ◽

Mineral Density

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Persistent Multispecies Actinomyces Mastitis Treated With Repeated Aspiration and Long-Term Oral Antibiotics

The American Surgeon ◽

10.1177/00031348211025748 ◽

2021 ◽

pp. 000313482110257

Author(s):

Colin Jenkins ◽

Anand Ganapathy ◽

Crystal Fancher ◽

Kazuhide Matsushima

Keyword(s):

Antibiotic Therapy ◽

Rare Condition ◽

Breast Abscess ◽

Amoxicillin Clavulanic Acid ◽

Recurrent Breast ◽

Causative Bacterium ◽

Repeated Aspiration ◽

Prolonged Antibiotic Therapy

Actinomycosis is an infection characterized by abscess formation, draining sinuses, and tissue fibrosis. The causative bacterium is a Gram-positive facultative anaerobe from the genus Actinomyces. Infections classically affect the cervicofacial, thoracic, or pelvic region and often require prolonged antibiotic therapy. Actinomycosis of the breast is a rare condition that may present as a recurrent breast abscess. We present a 33-year-old female with a recurrent breast abscess which grew A. radingae and A. israeli on aspirated fluid cultures. Treatment with surgical aspiration and a 6-week course of oral amoxicillin/clavulanic acid 875 mg twice daily resulted in clinical improvement. Our case demonstrates how recurrent breast abscesses caused by Actinomyces can be difficult to manage. Long-term antibiotic therapy with surgical aspiration and regular follow-up offer the best chance of clinical resolution.

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