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Hematogenous pasteurella haemolytica brain abscess
Mehdi Darmoul1, Atef Ben Nsir1, Mohamed Kilani1
1Department of Neurosurgery, CHU Fattouma Bourguiba Monastir, Tunisia.
Journal of Neurosciences in Rural Practice
|July 9, 2014
Summary
A rare brain abscess caused by Pasteurella haemolytica occurred in an 18-year-old female. This first-ever reported case highlights a unique presentation mimicking a brain tumor.
Area of Science:
- Neurology
- Infectious Diseases
- Microbiology
Background:
- Pasteurella infections are typically found in domestic animals, with human cases being exceedingly rare.
- Brain abscesses are serious infections that can present with diverse neurological symptoms.
Observation:
- An 18-year-old female with a cardiac interventricular communication developed a brain abscess.
- The abscess, caused by Pasteurella haemolytica, mimicked a brain tumor on magnetic resonance imaging (MRI).
- The patient had no recent history of animal contact.
Findings:
- This case represents the first documented instance of a Pasteurella haemolytica brain abscess.
- Hematogenous spread was the likely route of infection.
- Complete surgical removal of the abscess and a 6-week antimicrobial therapy led to a favorable outcome.
Implications:
- This case expands the known spectrum of Pasteurella infections in humans.
- It underscores the importance of considering rare pathogens in the differential diagnosis of brain abscesses, even without a clear history of animal exposure.
- Highlights the need for prompt diagnosis and appropriate treatment for successful patient outcomes.
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