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Cerebral actinomycosis following a facio-cranial trauma: A case report

Khaoula Oukrid1,2, Hamid Ziani1,2, Chaymae Ziani1,2

  • 1Radiology Department, Mohammed VI University Hospital, Oujda, Morocco.

Radiology Case Reports
|March 27, 2024
PubMed

Insights

Cerebral actinomycosis, a rare bacterial brain infection, is curable. This case highlights its presentation in a young male post-trauma, emphasizing the need for consideration in atypical neurological symptoms.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Cerebral actinomycosis is a rare, chronic, yet curable bacterial infection affecting the brain.
  • Prompt diagnosis and treatment are crucial for favorable outcomes.

Observation:

  • An 18-year-old male presented with severe headaches and behavioral changes following facio-cranial trauma.
  • Magnetic resonance imaging (MRI) revealed multiple, contiguous, small, round, and ovoid lesions in the right frontal lobe.
  • A characteristic "dot in circle" appearance was noted on MRI.

Findings:

  • Histological examination of a biopsy sample confirmed the diagnosis of cerebral actinomycosis.
  • The findings underscore the importance of considering this rare condition in the differential diagnosis.

Implications:

  • This case emphasizes the need to consider cerebral actinomycosis in patients presenting with atypical neurological symptoms, especially after trauma.
  • Early recognition and appropriate management can lead to successful treatment and recovery.
  • Further research into the diagnostic challenges and treatment protocols for cerebral actinomycosis is warranted.
Keywords:
ActinomycosisCase reportCranial traumaIntracerebral lesionsMRI

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