Mycobacterium tuberculosis and Pseudoramibacter alactolyticus coinfection in brain after dental extraction: A case report.
Medicine (Baltimore)
; 98(50): e18289, 2019 Dec.
Article
em En
| MEDLINE
| ID: mdl-31852106
ABSTRACT
INTRODUCTION:
More than 1200 different types of microbes were found in the human mouth, only some of these microorganisms were associated with intracranial bacterial infection. However, there are limited data available about the Pseudoramibacter alactolyticus (P alactolyticus) or Mycobacterium tuberculosis (MTB) intracranial infections oral origin. PATIENT CONCERNS Here, we reported a rarely case with P alactolyticus and MTB coinfection in central nervous after dental extraction. The 44-year-old man presented with progressive headache over the last 2 weeks and a sustained fever >39°C, with a dental extraction performed 2 days before the onset of headache. DIAGNOSIS P alactolyticus and MTB were confirmed by real-time polymerase chain reaction targeting the16S ribosomal RNA gene. The presence of MTB was also demonstrated by positive acid-fast staining of the purulent discharge.INTERVENTIONS:
The patient was treated by metronidazole and anti-TB treatmentOUTCOMES:
The patient fully recovered without sequela.CONCLUSION:
In conclusion there should be awareness of the possibility of P alactolyticus or MTB intracranial infections following tooth extraction.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Extração Dentária
/
Tuberculose do Sistema Nervoso Central
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Coinfecção
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Clostridiales
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Encefalite Infecciosa
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Mycobacterium tuberculosis
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Medicine (Baltimore)
Ano de publicação:
2019
Tipo de documento:
Article