Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report

Öcal Demir Sevliya; Kepenekli Kadayifci Eda; Akkoç Gülşen; Yakut Nurhayat; Şahin Yener; Dağçınar Adnan; Soysal Ahmet

doi:https://dx.doi.org/10.5222/j.child.2017.039

Case Report

DOI :10.5222/j.child.2017.039 IUP :10.5222/j.child.2017.039 Full Text (PDF)

Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report

Sevliya Öcal Demir, Eda Kepenekli Kadayifci, Gülşen Akkoç, Nurhayat Yakut, Yener Şahin, Adnan Dağçınar, Ahmet Soysal

Brain abscess is a serious infection of brain parenchyma with high fatality rate. Here we report brain abscess due to Streptococcus intermedius and a rare pathogen Aggregatibacter aphrophilus, and analyze clinical characteristics, management and outcome of brain abscess. A 6- year- old- girl was brought to the hospital because of mild head trauma, and her cranial computed tomography revealed a mass lesion in the right parietal lob, magnetic resonance imaging confirmed the lesion with a diameter of 27x31 mm and ring enhancement. For differential diagnosis stereotactic biopsy was done, and pus leak out. Aggregatibacter aphrophilus and Streptococcus intermedius were grown in the culture of this pus. Both pathogens were susceptible to empirically initiated ceftriaxone. She did not have any predisposing factor; such as cyanotic or acquired heart disease, sinusitis, mastoiditis or otitis. However she underwent dental filling five months ago, which was assumed to be the risk factor for bacteriemia. With antibiotic treatment the abscess regressed, and treatment was discontinued at 12th weeks. Her outpatient follow up was continued, and any complication was not observed. To our knowledge this is the first reported case of brain abscesses due to combination of Aggregatibacter aphrophilus and Streptococcus intermedius. This report has demonstrated that dental filling may be a risk factor for the development of brain abscess.

Keywords: Aggregatibacter aphrophilus, brain, cerebral, abscess, child

DOI :10.5222/j.child.2017.039 IUP :10.5222/j.child.2017.039 Full Text (PDF)

Aggregatibacter aphrophilus ve Streptococcus intermedius’un Etken Olduğu Beyin Apsesi: Bir Vaka Sunumu

Sevliya Öcal Demir, Eda Kepenekli Kadayifci, Gülşen Akkoç, Nurhayat Yakut, Yener Şahin, Adnan Dağçınar, Ahmet Soysal

Beyin absesi yüksek mortaliteye sahip beyin parankim enfeksiyonudur. Bu vakayı Streptococcus intermedius ile beyin apsesi için oldukça ender bir etken olan Aggregatibacter aphrophilus’un neden olduğu beyin apsesinin klinik özelliklerini, yönetimini ve prognozunu irdelemek için sunduk. Altı yaşında kız hasta hafif kafa travması nedeni ile hastaneye getirildi, çekilen beyin tomografisinde sağ pariyetal lobda kitle lezyon görüldü, beyin MRI lezyonun 27x31 mm olduğunu ve çevresinin kontrastlandığını gösterdi. Ayıcı tanı için sterotaktik biyopsi yapıldı, püy geldi. Püy kültüründe Aggregatibacter aphrophilus ve Streptococcus intermedius üredi, her ikisi de ampirik olarak başlanan seftriaksona duyarlı idi. Hastanın beyin apsesi açısından konjenital veya kazanılmış kalp hastalığı, sinüzit, mastoidit veya otit gibi herhangi bir risk faktörü yoktu. Bununla beraber, hastaya 5 ay önce diş dolgusu yapılmıştı. Bunun bakteriyemi yaparak risk oluşturduğu düşünüldü. Antibi-yotik tedavisi ile apse küçüldü, tedavi 12. haftada kesildi. Hastanın ayaktan kontrolleri devam etti, herhangi bir komplikasyon gözlenmedi. Bildiğimiz kadarı bu yazı Aggregatibacter aphrophilus ve Streptococcus intermedius’un beraber beyin apsesi etkeni olduğunu raporlayan ilk yazı ve diş dolgusu işleminin beyin apsesi gelişiminde risk olabileceğini göstermektedir

Keywords: Aggregatibacter aphrophilus, beyin, apse, çocuk

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APA

Öcal Demir, S., Kepenekli Kadayifci, E., Akkoç, G., Yakut, N., Şahin, Y., Dağçınar, A., & Soysal, A. (2017). Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report. Journal of Child, 17(1), 39-42. https://doi.org/10.5222/j.child.2017.039

AMA

Öcal Demir S, Kepenekli Kadayifci E, Akkoç G, Yakut N, Şahin Y, Dağçınar A, Soysal A. Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report. Journal of Child. 2017;17(1):39-42. https://doi.org/10.5222/j.child.2017.039

ABNT

Öcal Demir, S.; Kepenekli Kadayifci, E.; Akkoç, G.; Yakut, N.; Şahin, Y.; Dağçınar, A.; Soysal, A. Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report. Journal of Child, [Publisher Location], v. 17, n. 1, p. 39-42, 2017.

Chicago: Author-Date Style

Öcal Demir, Sevliya, and Eda Kepenekli Kadayifci and Gülşen Akkoç and Nurhayat Yakut and Yener Şahin and Adnan Dağçınar and Ahmet Soysal. 2017. “Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report.” Journal of Child 17, no. 1: 39-42. https://doi.org/10.5222/j.child.2017.039

Chicago: Humanities Style

Öcal Demir, Sevliya, and Eda Kepenekli Kadayifci and Gülşen Akkoç and Nurhayat Yakut and Yener Şahin and Adnan Dağçınar and Ahmet Soysal. “Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report.” Journal of Child 17, no. 1 (May. 2024): 39-42. https://doi.org/10.5222/j.child.2017.039

Harvard: Australian Style

Öcal Demir, S & Kepenekli Kadayifci, E & Akkoç, G & Yakut, N & Şahin, Y & Dağçınar, A & Soysal, A 2017, 'Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report', Journal of Child, vol. 17, no. 1, pp. 39-42, viewed 19 May. 2024, https://doi.org/10.5222/j.child.2017.039

Harvard: Author-Date Style

Öcal Demir, S. and Kepenekli Kadayifci, E. and Akkoç, G. and Yakut, N. and Şahin, Y. and Dağçınar, A. and Soysal, A. (2017) ‘Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report’, Journal of Child, 17(1), pp. 39-42. https://doi.org/10.5222/j.child.2017.039 (19 May. 2024).

MLA

Öcal Demir, Sevliya, and Eda Kepenekli Kadayifci and Gülşen Akkoç and Nurhayat Yakut and Yener Şahin and Adnan Dağçınar and Ahmet Soysal. “Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report.” Journal of Child, vol. 17, no. 1, 2017, pp. 39-42. [Database Container], https://doi.org/10.5222/j.child.2017.039

Vancouver

Öcal Demir S, Kepenekli Kadayifci E, Akkoç G, Yakut N, Şahin Y, Dağçınar A, Soysal A. Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report. Journal of Child [Internet]. 19 May. 2024 [cited 19 May. 2024];17(1):39-42. Available from: https://doi.org/10.5222/j.child.2017.039 doi: 10.5222/j.child.2017.039

ISNAD

Öcal Demir, Sevliya - Kepenekli Kadayifci, Eda - Akkoç, Gülşen - Yakut, Nurhayat - Şahin, Yener - Dağçınar, Adnan - Soysal, Ahmet. “Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report”. Journal of Child 17/1 (May. 2024): 39-42. https://doi.org/10.5222/j.child.2017.039

Volume 17, Issue 12017, P. 39-42

TIMELINE

Submitted	28.02.2017
Accepted	28.02.2017

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Case Report

Brain Abscess Due to Aggregatibacter aphrophilus and Streptococcus intermedius: A Case Report

Aggregatibacter aphrophilus ve Streptococcus intermedius’un Etken Olduğu Beyin Apsesi: Bir Vaka Sunumu

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