Journal Information
Vol. 7. Issue 3.
Pages 230-234 (January 1996)
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Vol. 7. Issue 3.
Pages 230-234 (January 1996)
Absceso cerebral actinomicótico: caso clínico
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P. Riesgo, M. Orozco, J. Piquer, F. Cortés, J. Cabanes
Servicio de Neurocirugía. Hospital Universitario «La Fé», Valencia
C. Botella*, J. Navarro*
* Servicio de Neurocirugía. Hospital Universitario de San Juan, Alicante
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Resumen

Se presenta un caso clínico de absceso cerebral actinomicótico en un paciente varón de 48 años, por infección a distancia a partir de un probable foco primario pulmonar. El Actinomyces israelii es el más frecuente agente patógeno de esta especie bacteriana. La afectación del SNC se produce entre un 3 y un 10% de los casos de actinomicosis sistémica. El absceso cerebral solitario constituye la forma más frecuente de afectación del SNC. El diagnóstico bacteriológico se alcanza por aislamiento de Actinomyces israelii a partir de muestras de material purulento. El manejo de estas lesiones requiere el drenaje o excisión del absceso, seguido de un tratamiento antibiótico prolongado. La Penicilina es el antibiótico de elección.

Palabras Clave:
Absceso cerebral
Actinomicosis
Actinomyces israelii
Tratamiento quirúrgico
Antibióticos
Summary

A case of a 48 year-old man with an actinomycotic brain abscess originating from a lung primary source is reported. Actinomyces israelii is the most frequent causative agent. CNS involvement accounts for 3% to 10% of systemic actinomycosis. Solitary brain abscess is the most common type of CNS involvement. Bacteriological diagnosis is attained by means of isolation of Actinomyces israelii from samples of purulent material. The treatment of these lesions consists of drainage or excision of the abscess, followed by a prolonged course of antibiotic therapy. Penicillin is the drug of choice in the treatment of the disease.

Key Words:
Brain abscess
Actinomycosis
Actinomyces israelii
Surgical treatment
Antibiotics

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