Open Access Peer-reviewed

A Case Report of Cerebellar Abscess Caused by Bacteroides fragilis

Doğan M1,, Keskin F2, Feyzioğlu B1, Baykan M1, Özdemir M1, Kalkan E2, 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

American Journal of Clinical Medicine Research. 2013, 1(4), 48-50. DOI: 10.12691/ajcmr-1-4-1
Published online: August 25, 2017

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
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