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Brain abscess caused by Citrobacter koseri infection in an adult
Heng-Wei Liu1, Chih-Ju Chang, Cheng-Ta Hsieh
1Division of Neurosurgery, Department of Surgery, Shin Kong Wu Ho-Su Hospital, Taipei, Taiwan.
Abstract:
Citrobacter koseri is a gram-negative bacillus that causes mostly meningitis and brain abscesses in neonates and infants. However, brain abscess caused by Citrobacter koseri infection in an adult is extremely rare, and only 2 cases have been described. Here, we reported a 73-year-old male presenting with a 3-week headache. A history of diabetes mellitus was noted. The images revealed a brain abscess in the left frontal lobe and pus culture confirmed the growth of Citrobacter koseri. The clinical symptoms improved completely postoperatively.
Insights
Citrobacter koseri, a bacterium rarely causing brain abscesses in adults, was identified in a 73-year-old male. Surgical drainage and treatment led to complete symptom resolution, highlighting a rare adult case of this infection.
Area of Science:
- Medical Microbiology
- Neurology
- Infectious Diseases
Background:
- Citrobacter koseri is a gram-negative bacillus.
- Primarily associated with meningitis and brain abscesses in neonates and infants.
- Adult brain abscesses due to C. koseri are exceptionally rare, with only two prior documented cases.
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