A case of brain abscess associated with enterococcal endocarditis

H. Mashimoto; S. Maesaki; J. Araki; S. Asai; K. Sawatari; M. Kaku; H. Koga; S. Kohno; K. Hara

doi:10.11150/kansenshogakuzasshi1970.68.254

A case of brain abscess associated with enterococcal endocarditis

H. Mashimoto, S. Maesaki, J. Araki, S. Asai, K. Sawatari, M. Kaku, H. Koga, S. Kohno, K. Hara

MED - Medical Sciences

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

Enterococcal infections involving the central nervous system are uncommon clinical entities. A 74-year-old male was admitted to our hospital on November 3, 1991 for high fever. Nuchal rigidity was observed at neurological examination. All four blood cultures yielded E. faecalis. The MIC value of ABPC against the isolated E. faecalis was 0.25 microgram/ml. Vegetation on the mitral valve and mitral regurgitation were revealed by an echocardiogram. Enhanced CT scan showed low density area with ring enhancement in the right basal ganglia and a CSF examination suggested bacterial meningitis. He became better after ABPC 8 g/day was intravenously administered. Then the vegetation on the mitral valve and the brain abscess disappeared. He was discharged with no complications. We reported a rare case of brain abscess associated with enterococcal endocarditis.

Original language	English
Pages (from-to)	254-258
Number of pages	5
Journal	Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases
Volume	68
Issue number	2
DOIs	https://doi.org/10.11150/kansenshogakuzasshi1970.68.254
Publication status	Published - 1994 Feb

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Medicine(all)

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title = "A case of brain abscess associated with enterococcal endocarditis",

abstract = "Enterococcal infections involving the central nervous system are uncommon clinical entities. A 74-year-old male was admitted to our hospital on November 3, 1991 for high fever. Nuchal rigidity was observed at neurological examination. All four blood cultures yielded E. faecalis. The MIC value of ABPC against the isolated E. faecalis was 0.25 microgram/ml. Vegetation on the mitral valve and mitral regurgitation were revealed by an echocardiogram. Enhanced CT scan showed low density area with ring enhancement in the right basal ganglia and a CSF examination suggested bacterial meningitis. He became better after ABPC 8 g/day was intravenously administered. Then the vegetation on the mitral valve and the brain abscess disappeared. He was discharged with no complications. We reported a rare case of brain abscess associated with enterococcal endocarditis.",

author = "H. Mashimoto and S. Maesaki and J. Araki and S. Asai and K. Sawatari and M. Kaku and H. Koga and S. Kohno and K. Hara",

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AU - Maesaki, S.

AU - Araki, J.

AU - Asai, S.

AU - Sawatari, K.

AU - Kaku, M.

AU - Koga, H.

AU - Kohno, S.

AU - Hara, K.

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AB - Enterococcal infections involving the central nervous system are uncommon clinical entities. A 74-year-old male was admitted to our hospital on November 3, 1991 for high fever. Nuchal rigidity was observed at neurological examination. All four blood cultures yielded E. faecalis. The MIC value of ABPC against the isolated E. faecalis was 0.25 microgram/ml. Vegetation on the mitral valve and mitral regurgitation were revealed by an echocardiogram. Enhanced CT scan showed low density area with ring enhancement in the right basal ganglia and a CSF examination suggested bacterial meningitis. He became better after ABPC 8 g/day was intravenously administered. Then the vegetation on the mitral valve and the brain abscess disappeared. He was discharged with no complications. We reported a rare case of brain abscess associated with enterococcal endocarditis.

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A case of brain abscess associated with enterococcal endocarditis

Abstract

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