Gemella morbillorum nedenli beyin apsesi: Olgu sunumu ve literatür taraması

Brain abscess caused by gemella morbillorum: Case report and review of the literature

Silky CHOTAI,Hong-Joo MOON,Joo-Han KIM,Jong-Hyun KIM,Hung-Seob CHUNG,Youn-Kwan PARK,Taek-Hyun KWON

Abstract

We describe a rare case of cerebral abscess in an immunocompetent 67-year-old male with Gemella morbillorum as the causative agent. Gemella morbillorum is an aerobic gram positive coccus and is deemed to be a normal inhabitant of the oral cavity. The aim of this report is to introduce Gemella morbillorum as the emerging pathogen involved in brain abscesses. To the best of our knowledge only eight cases of Gemella morbillorum brain abscess have been reported in the literature. An exhaustive review of the literature is included with emphasis on the primary source of infection, clinical presentation, radiological diagnosis, and treatment modalities.

Özet

İmmünokompetan 67 yaşında bir erkek hastada etkenin Gemella morbillorum olduğu nadir bir serebral apse vakası sunuyoruz. Gemella morbillorum aerobik gram pozitif koktur ve normalde oral kavitede bulunur. Bu raporun amacı, Gemella morbillorum’un beyin apselerinde giderek saptanmakta olan bir patojen olarak belirlenmesidir. Bildiğimiz kadarıyla literatürde sadece sekiz Gemella morbillorum beyin apsesi olgusu mevcuttur. Primer enfeksiyon kaynağı, klinik sunum, radyolojik tanı ve tedavi modaliteleri vurgulanarak literatür kapsamlı bir şekilde gözden geçirilmiştir.