Rosario Cultera
Italy
Case Report
Brain Abscess Sustained by Actinomyces meyeri in an Immunocompetent Patient
Author(s): Gabriele Fabbri, Viola Guardigni, Silvio Sarubbo, Rosario Cultera and Carlo ContiniGabriele Fabbri, Viola Guardigni, Silvio Sarubbo, Rosario Cultera and Carlo Contini
Actinomycosis is a rare granulomatous disease, caused by filamentous Gram positive anaerobic bacteria,
which may become pathogenic following disruption of anatomical barriers with invasion of host’s deep tissues and
dissemination of infection to any site of the organism. A. israelii is found in most clinical presentations.
We describe a case of a 41 years-old immunocompetent woman affected by thalamic abscess due to Actinomyces
meyeri, presenting with fever, headache, vomit, confusion. A brain Computed Tomography (CT) and a Magnetic
Resonance Imaging (MRI) revealed an expansive thalamic lesion with wide central necrosis and perilesionaledema.
The patient was immediately addressed to a first evacuation of the mass, followed by a second drainage because of
recurrence of the abscess. Microbiological and histological findings from int.. View More»
