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Brain abscess due to Pasteurella multocida

Z X Li1, B Zhao, Z Feng

  • 1Bacteriological Laboratory, Second Affillated Hospital, HeBei Medical College, Shijiazhuang, China.

Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
|March 1, 1994
PubMed
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A rare brain abscess caused by Pasteurella multocida was successfully treated in a patient with chronic otitis. This case highlights the importance of considering animal-associated bacteria in central nervous system infections.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Microbiology

Background:

  • Brain abscesses are serious infections requiring prompt diagnosis and treatment.
  • Pasteurella multocida is a bacterium commonly found in animal oral flora, typically causing infections after bites or scratches.

Observation:

  • A 26-year-old male presented with headache and vomiting, exhibiting signs of increased intracranial pressure.
  • CT scan revealed a space-occupying lesion in the fronto-dextra cupular region.
  • The patient had a 12-year history of chronic purulent otitis.

Findings:

  • A brain abscess was diagnosed and surgically drained.
  • Pasteurella multocida was isolated from the abscess pus, a rare occurrence.
  • The patient recovered with targeted antibiotic therapy based on sensitivity testing.

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Implications:

  • This case underscores the potential for Pasteurella multocida to cause rare but severe central nervous system infections.
  • Chronic otitis may serve as a predisposing factor for Pasteurella multocida brain abscesses.
  • Prompt identification and appropriate antibiotic treatment are crucial for favorable outcomes in such rare infections.