A chinese case of prevotella intermedia and streptococcus constellatus intracranial mixed infection

Shanying Mo1, Liuhua Wei1, Hongmou Chen2

  • 1Medical Science Laboratory, the Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou, Guangxi, China.

Metabolic Brain Disease
|November 3, 2017
PubMed

Insights

Brain infections from Streptococcus constellatus are rising. A rare case highlights the danger of mixed Prevotella intermedia and Streptococcus constellatus brain infections, emphasizing prompt diagnosis and broad-spectrum antibiotics.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Microbiology

Background:

  • Streptococcal species are an emerging cause of brain infections globally.
  • Streptococcus constellatus is a common pathogen, while anaerobic bacteria are rare causes of intracranial infection.

Observation:

  • This report details a rare case of intracranial mixed infection caused by Prevotella intermedia and Streptococcus constellatus in China.
  • The case highlights epidemiological risk factors, clinical features, and patient outcomes.

Findings:

  • Intracranial mixed infections involving Prevotella intermedia and Streptococcus constellatus have not been previously reported.
  • Fetid cerebrospinal fluid in exacerbated brain infections necessitates urgent, repeated imaging.

Implications:

  • Early and repeated neuroimaging is crucial for diagnosing severe brain infections.
  • Empiric antibiotic treatment should cover both anaerobic and aerobic bacteria in suspected mixed intracranial infections.

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