Öz
Beyin apseleri nadir görülen infeksiyonları olmasına karşın, mortalite oranı yüksek infeksiyonlarıdır. Beyin apseleri sıklıkla sinüzit veya orta kulak infeksiyonları gibi yakın komşu dokulardaki infeksiyonların yayılımı sonucunda gelişir. Ayrıca, piyojenik etkenlerin hematojen yayılımı sonucu gelişen uzak organ infeksiyonları da beyin apsesine neden olabilir. Bu yazıda 69 yaşında, altta yatan hastalığı olmayan bir erkek hastada Genişlemiş spektrumlu beta-laktamaz üreten E.coli’ye bağlı olarak gelişen beyin apsesi ve bakteriyemi bildirildi. Hastada beyin apsesi materyalinde ve kan kültüründe E.coli üredi. İnfeksiyon odağına yönelik yapılan ekokardiyografi ve ultrasonografik incelemelerde ve diş muayenesinde infeksiyon odağı saptanamadı. Hastanın serebella bölgedeki apsesi cerrahi apse drenajı ve 6 hafta süreyle meropenem tedavisi sonrasında geriledi.
Anahtar Kelimeler
beyin apsesi bakteriyemi Genişlemiş spektrumlu beta-laktamaz
Kaynakça
- 1. https://www.uptodate.com/contents/pathogenesis clinical manifestations and diagnosis ofbrain-abscess.
- 2. Bakshi R, Wright PD, Kinkel PR, et al. Cranial magnetic resonance imaging findings in bacterial endocarditis: the neuroimaging spectrum of septic brain embolization demonstrated in twelve patients. J Neuroimaging 1999; 9: 78.
- 3. Rau CS , Chang WN, Lin YC, et al. Brain abscess caused by aerobic Gram-negative bacilli: clinical features and therapeutic outcomes. Clin Neurol Neurosurg. 2002; 105 :60-5.
- 4. Rosenblum ML, Hoff JT, Norman D, et al. Nonoperative treatment of brain abscesses in selected high-risk patients. J Neurosurg.1980; 52: 217-25.
- 5. Akuzawa N, Osawa T, Totsuka M, et al. Secondary brain abscess following simple renal cyst infection: a case report. BMC Neurology 2014; 14: 130.
- 6. Constantin F, Niculescu PA, Petre O et al. Orbital cellulitis and brain abscess – rare complications of maxillo-spheno-ethmoidal rhinosinusitis. Rom J Ophthalmol. 2017; 61: 133–6.
Öz
Although brain abscesses are rare infections, they have high mortality rate. Brain abscesses often develop as a result of the spread of infections in distant tissues, such as sinusitis or middle ear infections. In addition, distant organ infections due to hematogenous spread of pyogenic agents may also cause brain abscess. In this article, we report brain abscess and bacteremia due to extended-spectrum beta-lactamase-producing E.coli in a 69-year-old male patient with no underlying disease. E.coli was grown in the brain abscess material and blood culture of the patient. No focus of infection was detected in the echocardiography and ultrasonographic examinations and dental examination. The patient's abscess in the cerebella region regressed after surgical abscess drainage and 6 weeks meropenem treatment.
Anahtar Kelimeler
brain abcess, bacteremiae extended spectrum beta-lactamase E.coli
Kaynakça
- 1. https://www.uptodate.com/contents/pathogenesis clinical manifestations and diagnosis ofbrain-abscess.
- 2. Bakshi R, Wright PD, Kinkel PR, et al. Cranial magnetic resonance imaging findings in bacterial endocarditis: the neuroimaging spectrum of septic brain embolization demonstrated in twelve patients. J Neuroimaging 1999; 9: 78.
- 3. Rau CS , Chang WN, Lin YC, et al. Brain abscess caused by aerobic Gram-negative bacilli: clinical features and therapeutic outcomes. Clin Neurol Neurosurg. 2002; 105 :60-5.
- 4. Rosenblum ML, Hoff JT, Norman D, et al. Nonoperative treatment of brain abscesses in selected high-risk patients. J Neurosurg.1980; 52: 217-25.
- 5. Akuzawa N, Osawa T, Totsuka M, et al. Secondary brain abscess following simple renal cyst infection: a case report. BMC Neurology 2014; 14: 130.
- 6. Constantin F, Niculescu PA, Petre O et al. Orbital cellulitis and brain abscess – rare complications of maxillo-spheno-ethmoidal rhinosinusitis. Rom J Ophthalmol. 2017; 61: 133–6.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Eylül 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 12 Sayı: 3 |
Kaynak Göster
e-ISSN: 2149-8296
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