Brain abscess mimicking acute stroke syndrome caused by dual Filifactor alocis and Porphyromonas gingivalis infections: A case report. (June 2022)

• Record Type: Journal Article
• Authors: Wisutep, Pruettichai; Kamolvit, Witchuda; Chongtrakool, Piriyaporn; Jitmuang, Anupop
• Is Part Of: Anaerobe. Volume 75(2022)
• Publication Date: 2022-06
• Subjects: Brain abscess -- Filifactor alocis -- Odontogenic infection -- Porphyromonas gingivalis; Anaerobic infections -- Periodicals; Anaerobic bacteria -- Periodicals; Bacterial diseases -- Periodicals; Computer network resources; Anaerobic protozoa -- Periodicals; 579.3
• DOI: 10.1016/j.anaerobe.2022.102535
• Languages: English
• ISSNs: 1075-9964

Abstract

Abstract: This case report is about a woman who had a brain abscess in the left parietal lobe that atypically presented as acute stroke-like syndrome. Pus samples from brain abscess aspiration revealed the periodontal pathogens Porphyromonas gingivalis and Filifactor alocis . After dental health care and 8 weeks of combined antimicrobial therapy, the patient recovered completely. Highlights: Filifactor alocis and Porphyromonas gingivalis are agents of odontogenic infection. An odontogenic infection is known as a common source of brain abscess. F. alocis and P. gingivalis coinfection can cause an odontogenic brain abscess. Brain abscess may have unusual manifestations mimicking acute stroke syndrome. Antimicrobial therapy, surgical treatment, and dental care provide a good outcome.