腸球菌による感染性心内膜炎に合併した脳膿瘍の1治験例

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  • A Case of Brain Abscess Associated with Enterococcal Endocarditis

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Enterococcal infections involving the central nervous system are uncommon clinical entities. A 74-year-old male was admitted to our hospital on November 3, 1991 for high fever. Nuchal rigidity was observed at neurological examination. All four blood cultures yielded E. faecalis. The MIC value of ABPC against the isolated E. faecalis was 0.25μg/ml. Vegetation on the mitral valve and mitral regurgitation were revealed by an echocardiogram. Enhanced CT scan showed low density area with ring enhancement in the right basal ganglia and a CSF examination suggested bacterial meningitis. He became better after ABPC 8 g/day was intravenously administered. Then the vegetation on the mitral valve and the brain abscess disappeared. He was discharged with no complications. We reported a rare case of brain abscess associated with enterococcal endocarditis.

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 68 (2), 254-258, 1994

    一般社団法人 日本感染症学会

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