Stenotrophomonas maltophilia brain abscesses after implantation of motor cortex stimulator.
Aged
Brain Abscess
/ diagnostic imaging
Device Removal
/ methods
Gram-Negative Bacterial Infections
/ diagnostic imaging
Humans
Implantable Neurostimulators
/ adverse effects
Male
Motor Cortex
/ diagnostic imaging
Prosthesis-Related Infections
/ diagnostic imaging
Stenotrophomonas maltophilia
/ isolation & purification
Brain abscess
Neurostimulation
Pacemaker
Status epilepticus
Stenotrophomonas maltophilia
Journal
Journal of the neurological sciences
ISSN: 1878-5883
Titre abrégé: J Neurol Sci
Pays: Netherlands
ID NLM: 0375403
Informations de publication
Date de publication:
15 May 2019
15 May 2019
Historique:
received:
28
01
2019
revised:
07
03
2019
accepted:
12
03
2019
pubmed:
20
3
2019
medline:
5
6
2020
entrez:
20
3
2019
Statut:
ppublish
Résumé
We describe the first case of a patient with brain abscesses caused by Stenotrophomonas maltophilia as a complication after motor cortex stimulator implantation. Brain abscesses pose a challenge in diagnosis and treatment, because microbiological diagnosis is not always achieved, antibiotic drugs may not penetrate well into the CNS and some bacteria have resistances to typical empirical antibiotic drugs. In this case diagnosis was only made after removal of the stimulator and a long term treatment with antibiotic drugs was necessary. As neurostimulation devices become more common, formerly rare bacteria may become a more common complication. Bacteria with biofilm properties and a problematic resistance spectrum like Stenotrophomonas maltophilia should be included in the differential diagnosis, because they will not respond to the typical empirical treatment.
Identifiants
pubmed: 30889467
pii: S0022-510X(19)30123-6
doi: 10.1016/j.jns.2019.03.010
pii:
doi:
Types de publication
Case Reports
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
32-33Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.