Subdural empyema due to lactococcus lactis cremoris: Case report

Mizuho Inoue, Atsushi Saito, Hiroyuki Kon, Hiroki Uchida, Shinya Koyama, Shinya Haryu, Tatsuya Sasaki, Michiharu Nishijima

研究成果: Article査読

15 被引用数 (Scopus)

抄録

Lactococcus lactis cremoris (L. lactis cremoris) infections are very rare in humans. Only three case reports of brain abscess have been reported and the infectious routes and pathological features are still unknown. We experienced a subdural empyema due to L. lactis cremoris in an immunocompetent adult. A 33-year-old man was admitted with fever, right facial pain, left hemiparesis, and left hemianopsia. Computed tomography demonstrated low density fluid collection in the right falcotentorial subdural space. Magnetic resonance (MR) images revealed a high signal lesion on a diffusion-weighted image (DWI) and fluid attenuated inversion recovery (FLAIR) images in the right paratentorial and parafalcine subdural space, right maxillary sinus, and bilateral ethmoidal sinus. He underwent two sequential open surgeries for removal and drainage of empyema and was treated with antibiotics including meropenem and ampicillin. To our knowledge, this is the first report of subdural empyema caused by L. lactis cremoris infection. We report the case and discuss the pathological features with the previous literature.

本文言語English
ページ(範囲)341-347
ページ数7
ジャーナルNeurologia medico-chirurgica
54
4
DOI
出版ステータスPublished - 2014
外部発表はい

ASJC Scopus subject areas

  • 外科
  • 臨床神経学

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