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Eikenella corrodens brain abscess after repeated periodontal manipulations cured with imipenem and neurosurgery. 2002
V Asensi, and
M Alvarez, and
J A Carton, and
M Lago, and
J A Maradona, and
J M Asensi, and
J M Arribas
Infectious Diseases Unit, Hospital Central de Asturias, Oviedo University Medical School, Spain. vasensia@medynet.com
Eikenella corrodens is a facultatively anaerobic gram-negative rod that colonizes the oral cavity and very rarely produces central nervous system (CNS) infections. Frontal lobe abscesses are occasionally associated with a dental source of infection. We report a case of an adult man with overzealous dental cleaning habits who developed a right frontal brain abscess caused by E. corrodens. He underwent neurosurgical drainage of the pus and was successfully treated with imipenem 4 g/i.v./day for 4 weeks with no complications. Repeated periodontal trauma could explain the Eikenella brain abscess in this case.
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