Isolated Cerebellar Spindle Cell Pseudotumor Caused by Mycobacterium Avium-Intracellulare Complex in a Patient without AIDS.
World Neurosurg
; 90: 703.e1-703.e3, 2016 Jun.
Article
en En
| MEDLINE
| ID: mdl-26926796
ABSTRACT
BACKGROUND:
Spindle cell pseudotumors are formed by histiocytes in response to infection by Mycobacterium avium-intracellulare complex (MAC) and are rare in patients without AIDS. CASE DESCRIPTION A 66-year-old man presented with neck pain, ataxia, and a history of sarcoidosis. A cerebellar lesion was identified on magnetic resonance imaging and surgically excised. Histopathology revealed this to be a spindle cell pseudotumor and MAC was isolated by bacterial culture of cerebrospinal fluid. Hematology revealed cluster of differentiation 4 lymphocytopenia but human immunodeficiency virus serology was negative. The patient was commenced on antimicrobial treatment that included a macrolide and remained well at 1 year follow-up.CONCLUSIONS:
This rare presentation of isolated intracranial MAC was treated with surgical excision and antimicrobials with a good outcome.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Infección por Mycobacterium avium-intracellulare
/
Enfermedades Cerebelosas
Tipo de estudio:
Diagnostic_studies
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Prognostic_studies
Límite:
Aged
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Humans
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Male
Idioma:
En
Revista:
World Neurosurg
Asunto de la revista:
NEUROCIRURGIA
Año:
2016
Tipo del documento:
Article