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

• Autor(a) principal: Ferraz, A. C. [UNIFESP]
• Data de Publicação: 1993
• Outros Autores: Melo, C. V. M. [UNIFESP], Pereira, E. L. R. [UNIFESP], Stávale, João Norberto [UNIFESP], Nogueira, Roberto Gomes [UNIFESP], Gabbai, Alberto Alain [UNIFESP], Malheiros, Suzana Maria Fleury [UNIFESP], Prandini, Mirto Nelso [UNIFESP], Braga, Fernando Menezes [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-282X1993000300012; http://repositorio.unifesp.br/handle/11600/323
• topic: actinomycosis; brain abscess; diagnostics; treatment; actinomicose; abscesso cerebral; diagnóstico; tratamento

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.