Drastic Therapy for Listerial Brain Abscess Involving Combined Hyperbaric Oxygen Therapy and Antimicrobial Agents
Journal of Clinical Neurology
; : 358-362, 2014.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-53246
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Listeria monocytogenes (L. monocytogenes) is a rare causative pathogen of brain abscess that is often found in immunocompromised patients. Although patients with supratentorial listerial abscesses showed a longer survival with surgical drainage, the standard therapy for patients with subtentorial lesions has not been established. CASE REPORT We report herein a patient with supra- and subtentorial brain abscesses caused by L. monocytogenes infection. These abscesses did not respond to antibiotics, and his symptoms gradually worsened. Drainage was not indicated for subtentorial lesions, and the patient was additionally treated with hyperbaric oxygen therapy, which dramatically reduced the volume of abscesses and improved the symptoms.CONCLUSIONS:
This is the first report of drastic therapy for a patient with listerial brain abscesses involving combined antibiotics and hyperbaric oxygen therapy. The findings suggest that hyperbaric oxygen therapy is a good option for treating patients with deep-seated listerial abscesses and for who surgical drainage is not indicated.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Abscesso Encefálico
/
Drenagem
/
Hospedeiro Imunocomprometido
/
Abscesso
/
Oxigenoterapia Hiperbárica
/
Listeria monocytogenes
/
Anti-Infecciosos
/
Antibacterianos
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Clinical Neurology
Ano de publicação:
2014
Tipo de documento:
Artigo