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A Case of Central Nervous System Actinomycosis Presenting as Brain Abscess
Yae Min Park, M.D.1, In Sik Won, M.D.1, Joo Il Kim, M.D.1, Hyon Joung Cho, M.D.1, Jong Goo Seo, M.D.1, Jin Yong Kim, M.D.1, Eun Young Kim, M.D.2, Sang Hui Park, M.D.3, Yoon Soo Park, M.D.1, Yiel-Hae Seo, M.D.4, and Yong Kyun Cho, M.D.1
Departments of Internal Medicine1, Neurosurgery2, Pathology3, Laboratory Medicine4, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea
Vol.41 Num.4 (p249~252)
Actinomyces normally colonizes the mouth, colon, and vagina. Although disruption of mucosa may lead to infection at virtually any site, central nervous system actinomycosis is rare. A 45-year-old man presented with seizure and magnetic resonance imaging showed brain abscess. He was diagnosed with actinomycotic and streptococcal infection of brain by histologic and microbiologic examination. After stereotactic aspiration and biopsy, he was treated successfully by prolonged antibiotic therapy using intravenous penicillin-G and oral amoxicillin.
Keywords : Actinomycosis, Brain abscess, Central nervous system