Abscesso actinomicótico do cerebelo: relato de caso

Tsubouchi, Mário H.; Arruda, Walter O.; Pedrozo, Ari A.; Meneses, Murilo S.; Ramina, Ricardo; Bleggi-Torres, Luiz F.

doi:10.1590/S0004-282X1995000300023

Resumos

Acometimento do sistema nervoso central por actinomicetos é extremamente raro. Os autores descrevem um caso de actinomicose de cerebelo, com diagnóstico estabelecido após remoção cirúrgica da lesão e tratamento com sucesso com penicilina endovenosa e oral. Breve revisão da literatura sobre o envolvimento do sistema nervoso na actinomicose é apresentada.

actinomicose; abscesso cerebelar; penicilina

A 38 year-old man presented fever and a clinical picture of intracranial hypertension and ataxic syndrome. A CT-scan disclosed an expanding lesion of the cerebellum. Surgical excision of the lesion was performed and pathological examination made the diagnosis of an actinomycotic abscess. The probable primary source of infection were the lungs and/or oral cavity. The postoperative course was uneventful, with complete recovery after a long period of treatment with penicillin (IV and PO). The authors review some aspects about central nervous system involvement in actinomycosis.

actinomycosis; cerebellar abscess; penicillin

Abscesso actinomicótico do cerebelo. Relato de caso

Actinomycotic abscess of the cerebellum: case report

Mário H. Tsubouchi^I; Walter O. Arruda^I; Ari A. Pedrozo^II; Murilo S. Meneses^II; Ricardo Ramina^II; Luiz F. Bleggi-Torres^III

^INeurologista. Unidade de Ciências Neurológicas, Curitiba

^IINeurocirurgiãoUnidade de Ciências Neurológicas, Curitiba

^IIINeuropatologistaUnidade de Ciências Neurológicas, Curitiba

RESUMO

Acometimento do sistema nervoso central por actinomicetos é extremamente raro. Os autores descrevem um caso de actinomicose de cerebelo, com diagnóstico estabelecido após remoção cirúrgica da lesão e tratamento com sucesso com penicilina endovenosa e oral. Breve revisão da literatura sobre o envolvimento do sistema nervoso na actinomicose é apresentada.

Palavras-chave: actinomicose, abscesso cerebelar, penicilina.

SUMMARY

A 38 year-old man presented fever and a clinical picture of intracranial hypertension and ataxic syndrome. A CT-scan disclosed an expanding lesion of the cerebellum. Surgical excision of the lesion was performed and pathological examination made the diagnosis of an actinomycotic abscess. The probable primary source of infection were the lungs and/or oral cavity. The postoperative course was uneventful, with complete recovery after a long period of treatment with penicillin (IV and PO). The authors review some aspects about central nervous system involvement in actinomycosis.

Key words:actinomycosis, cerebellar abscess, penicillin.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 6-março-1995.

Dr. Mário Henrique Tsubouchi - Hospital das Nações - Rua Rafael Papa 10 - 82530-190 Curitiba PR - Brasil.

1. Adams RD,Victor M. Principles of Neurology. Ed 5. New York: McGraw-Hill, 1993, p 616.
2. Bennhoff DF. Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases. Laryngoscope 1984; 94: 1198-1217.
3. Bernardi RS Abdominal actinomycosis. Surg Gynecol Obstet 1979; 149:257.
4. Chen-Wei H. Actinomycosis of the brain: case report. J Neurosurg 1985; 63:131-133.
5. Corbin DOC, Solara L, Flint G, Williams AC. Actinomycotic brain abscess following suppuration. J Neurol Neurosurg Psychiatry 1992; 50:1705-1706.
6. Dailey AT, Leroux PD, Grady MS. Resolution of an actinomycotic abscess with nonsurgical treatment: case report. Neurosurgery 1993; 32:134-136.
7. Ferraz AC, Melo CVM, Pereira ELR, Stavale JN, Nogueira, RG, Gabbai, AA, Malheiros, SMF, Frandini, MN, Braga, FM. Actinomicose do sistema nervoso central: uma rara complicação da actinomicose cervicofacial. Arq Neuropsiquiatr 1993; 51:358-362.
8. Obana WG, Roseblum ML. Nonoperative treatment of neurosurgical infections: neurosurgical infections. Neurosurg Clin N Am 1992; 3:359-373.
9. Queiroz LS, Nucci A, Faria JL. Actinomicose cerebral: observação anátomo-clínica e revisão da literatura brasileira. Arq Neuropsiquiatr 1975; 33:336-344.
10. Smego RA. Actinomycosis of the central nervous system. Rev Infect Dis 1987; 9:855-865.
11. Vinard JL, Adam G, Loubrieu G, Provendier B, Gazaigne J, Dreyfus A, Ntarudenga U. Actynomycose thoracique pseudo-tumorale avec metastases pulmonaires et cerebrates: à propôs d'un cas. Revue de cent trente et un cas de la littérature. Ann Chir 1992; 46:748-761.

Datas de Publicação

Publicação nesta coleção
09 Dez 2010
Data do Fascículo
Set 1995

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Adams RD,Victor M. Principles of Neurology. Ed 5. New York: McGraw-Hill, 1993, p 616.

[2] 2. Bennhoff DF. Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases. Laryngoscope 1984; 94: 1198-1217.

[3] 3. Bernardi RS Abdominal actinomycosis. Surg Gynecol Obstet 1979; 149:257.

[4] 4. Chen-Wei H. Actinomycosis of the brain: case report. J Neurosurg 1985; 63:131-133.

[5] 5. Corbin DOC, Solara L, Flint G, Williams AC. Actinomycotic brain abscess following suppuration. J Neurol Neurosurg Psychiatry 1992; 50:1705-1706.

[6] 6. Dailey AT, Leroux PD, Grady MS. Resolution of an actinomycotic abscess with nonsurgical treatment: case report. Neurosurgery 1993; 32:134-136.

[7] 7. Ferraz AC, Melo CVM, Pereira ELR, Stavale JN, Nogueira, RG, Gabbai, AA, Malheiros, SMF, Frandini, MN, Braga, FM. Actinomicose do sistema nervoso central: uma rara complicação da actinomicose cervicofacial. Arq Neuropsiquiatr 1993; 51:358-362.

[8] 8. Obana WG, Roseblum ML. Nonoperative treatment of neurosurgical infections: neurosurgical infections. Neurosurg Clin N Am 1992; 3:359-373.

[9] 9. Queiroz LS, Nucci A, Faria JL. Actinomicose cerebral: observação anátomo-clínica e revisão da literatura brasileira. Arq Neuropsiquiatr 1975; 33:336-344.

[10] 10. Smego RA. Actinomycosis of the central nervous system. Rev Infect Dis 1987; 9:855-865.

[11] 11. Vinard JL, Adam G, Loubrieu G, Provendier B, Gazaigne J, Dreyfus A, Ntarudenga U. Actynomycose thoracique pseudo-tumorale avec metastases pulmonaires et cerebrates: à propôs d'un cas. Revue de cent trente et un cas de la littérature. Ann Chir 1992; 46:748-761.