When upper respiratory tract infections go rogue: A case report of Arcanobacterium haemolyticum Cerebral Abscess

IDCases

Christopher Snitchler¹  Ryan Leverette²  Randy Bell²  Nehkonti Adams³  Michael Kong³  Juan Rodriguezbarrantes⁴  Daniel Ikeda⁵  Anthony Skinner⁶ 

[1] Corresponding author.;Departments of Laboratory Services, US Naval Hospital Okinawa, Okinawa, Japan;Departments of Medicine, US Naval Hospital Okinawa, Okinawa, Japan;Departments of Opthaolmology, US Naval Hospital Okinawa, Okinawa, Japan;Departments of Otolaryngology-Head and Neck Surgery, US Naval Hospital Okinawa, Okinawa, Japan;Departments of Surgery, US Naval Hospital Okinawa, Okinawa, Japan;

关键词: Cerebral abscess;    Arcanobacterium haemolyticum;    Sinusitis;    Preseptal cellulitis;   

DOI  :  

来源: DOAJ

【 摘 要 】

Arcanobacterium haemolyticum is an extremely rare cause of cerebral abscess. We present a unique case of Arcanobacterium haemolyticum sinusitis complicated by preseptal cellulitis and cerebral abscess. The patient initially presented with pharyngitis and then developed sinus congestion, headache and facial pain. Computed tomography and magnetic resonance imaging revealed a right gyrus rectus cerebral abscess and paranasal sinus infection. The patient underwent endoscopic sinus surgery and cultures revealed Arcanobacterium haemolyticum. Repeat imaging revealed maturation and progression of intracranial abscess. The abscess was drained and patient was treated with parenteral and oral antibiotics until complete clinical and radiological remission. This case highlights the importance of recognizing Arcanobacterium haemolyticum as a cause of invasive disease in immunocompetent hosts.

【 授权许可】

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