SciELO - Scientific Electronic Library Online

 
vol.69 número1Síndrome de Lady Windermere: Femenino por naturalezaDesarrollo de hiperparatiroidismo primario en el seguimiento de un paciente con enfermedad de Paget índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Bookmark


Medicina (Buenos Aires)

versión On-line ISSN 1669-9106

Resumen

ZARATE, Mariela S.; YAHNI, Diego; GUEVARA, Martín  y  SMAYEVSKY, Jorgelina. Post-surgery cerebral abscess due to Propionibacterium acnes. Medicina (B. Aires) [online]. 2009, vol.69, n.1, pp. 170-172. ISSN 1669-9106.

Brain abscesses by Propionibacterium acnes are rare. The rapid identification of this pathogen is important in order to choice the appropriate antibiotic therapy. We describe the case of a patient with excision of a multiform glioblastoma who 9 months later presented a tumor recurrence. A subtotal tumor excision was made and implants chemotherapy were placed in the residual tumor. After one month of surgery the patient presented a brain abscess. A craniotomy for drainage was performed. P. acnes was isolated from the biopsy and from purulent material. Identification was made by conventional biochemical tests and by the API system 20 A. The Minimum Inhibitory Concentration (MIC) to clindamycin, penicillin, amoxicillin and metronidazole was determined. The values of MIC (ug/ml) obtained were: 0.250, 0.040, 0.023 and 256, respectively. The patient received cefepime and metronidazole intravenously during 30 days and completed treatment with oral clindamycin for 60 days, considering the possibility of adjacent bone involvement. Eight months after the drainage the patient had no evidence of infection or tumor recurrence. Although P. acnes is a rare cause of post-neurosurgical infection, it should be considered as a possible pathogen in postoperative brain abscesses.

Palabras llave : Propionibacterium acnes; Cerebral abscess; Neurosurgery.

        · resumen en Español     · texto en Español     · pdf en Español