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Abscesso actinomicótico do cerebelo: relato de caso

Actinomycotic abscess of the cerebellum: case report

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. TsubouchiI; Walter O. ArrudaI; Ari A. PedrozoII; Murilo S. MenesesII; Ricardo RaminaII; Luiz F. Bleggi-TorresIII

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.

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Datas de Publicação

  • Publicação nesta coleção
    09 Dez 2010
  • Data do Fascículo
    Set 1995
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