Actinomicose do sistema nervoso central: uma rara complicação da actinomicose cervicofacial

Actinomicose do sistema nervoso central: uma rara complicação da actinomicose cervicofacial

Alternative title Actinomycosis of the central nervous system: a rare complication of cervicofacial actinomycosis
Author Ferraz, A. C. Autor UNIFESP Google Scholar
Melo, C. V. M. Autor UNIFESP Google Scholar
Pereira, E. L. R. Autor UNIFESP Google Scholar
Stávale, João Norberto Autor UNIFESP Google Scholar
Nogueira, Roberto Gomes Autor UNIFESP Google Scholar
Gabbai, Alberto Alain Autor UNIFESP Google Scholar
Malheiros, Suzana Maria Fleury Autor UNIFESP Google Scholar
Prandini, Mirto Nelso Autor UNIFESP Google Scholar
Braga, Fernando Menezes Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Central nervous system actinomycosis is a rare but treatable chronic suppurative bacterial infection. The case of a young immunocompetent male with actinomycosis of the CNS is presented. The abscess originated from a primary cervico-facial infection and was located in the left parasellar region. After excision of the mass, that showed Actinomyces colonies, the patient was treated with intravenous Penicillin for 42 days followed by oral administration of the drug for 30 days. After surgery the patient was left with mild sequelae that had improved by the last follow-up, 7 months later. A new CT scan at that time revealed no residual disease or recurrence. The early diagnosis of cerebral actinomycosis relies essentially on a clinical suspicion. Hence it is imperative to be aware of the natural history of this infection and its various modes of presentation.

A actinomicose do sistema nervoso central (SNC) é afecção rara, caracterizada pela formação de abscesso único e de evolução crônica. Os autores descrevem o caso de um paciente jovem, imunocompetente, com actinomicose cerebral oriunda de foco primário cervicofacial, submetido a ressecção cirúrgica e antibioticoterapia. Ressalta-se a importância do conhecimento da entidade e de suas principais formas de acometimento, como a base do diagnóstico precoce dessa enfermidade potencialmente curável e de bom prognóstico.
Keywords actinomycosis
brain abscess
diagnostics
treatment
actinomicose
abscesso cerebral
diagnóstico
tratamento
Language Portuguese
Date 1993-09-01
Published in Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 51, n. 3, p. 358-362, 1993.
ISSN 0004-282X (Sherpa/Romeo)
Publisher Academia Brasileira de Neurologia - ABNEURO
Extent 358-362
Origin http://dx.doi.org/10.1590/S0004-282X1993000300012
Access rights Open access Open Access
Type Article
SciELO ID S0004-282X1993000300012 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/323

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