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Published on: July 1, 2018
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.
Abstract:
Streptococcal Species is increasingly recognized as a potentially preventable emerging infection in human's brain with high prevalence around the world. Streptococcus constellatus is one of the most common pathogens. Meanwhile, anaerobic bacteria are the rare causes for intracranial infection. To date, intracranial mixed infection caused by Prevotella intermedia and Streptococcus constellatus has not been reported. We reported a Chinese case to raise the global awareness of severity of the intracranial mixed infection. Here, we illustrated the epidemiological risk factors, clinical manifestations and outcomes of the patient. For patients who suffer from exacerbated brain infection with fetid cerebrospinal fluid, early repeated imaging is urgently needed and empiric antibiotic therapy should consider anaerobic and aerobic bacteria in these situations.
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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