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Brain abscess caused by Paenibacillus lactis.

Ivo Inkov Kehayov¹, Polina Miroslavova Angelova¹, Borislav Dimitrov Kitov²

¹Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.

Journal of Infection in Developing Countries

|April 6, 2023

Summary

This case report details a rare brain abscess caused by Paenibacillus lactis in a 30-year-old male. The patient recovered fully after surgical intervention and antimicrobial treatment for the abscess and subsequent meningitis.

Keywords:

CNS Paenibacillus lactis brain abscess infection surgery three

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Area of Science:

Neurology
Infectious Diseases
Microbiology

Background:

Petrous apicitis can present with complex neurological symptoms.
Brain abscesses are serious intracranial infections requiring prompt diagnosis and management.

Observation:

A 30-year-old male presented with headache, facial pain, and otalgia, initially diagnosed with petrous apicitis.
Magnetic resonance imaging revealed an inflammatory process, followed by computed tomography showing a temporal lobe brain abscess.
The patient experienced generalized seizures and later developed meningitis post-abscess evacuation.

Findings:

Paenibacillus lactis was identified as the causative agent of the brain abscess.
Surgical evacuation and resection of the abscess were performed.
Prolonged intravenous antimicrobial therapy successfully treated the meningitis.

Implications:

This is the first reported case of a brain abscess caused by Paenibacillus lactis.
Highlights the importance of considering rare pathogens in brain abscess etiology.
Emphasizes the need for comprehensive management of associated complications like meningitis.