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KMID : 1141120200060020105
The Nerve
2020 Volume.6 No. 2 p.105 ~ p.109
Salmonella Typhimurium Brain Abscess in an Immunocompetent Adult with a Spontaneous Intracerebral Hemorrhage: A Case Report
Kang Gyu-Sung

Choi Ha-Young
Park Jung-Soo
Koh Eun-Jeong
Lee Jong-Myong
Abstract
A brain abscess caused by Salmonella typhimurium (S. typhimurium) in an immunocompetent adult is rare. We report a case of brain abscess caused by S. typhimurium in a 46-year-old male and a brief review of the literature. The patient visited a local hospital because of right hemiparesis. Brain computed tomography and magnetic resonance imaging results showed an acute hematoma in the left basal ganglia. After 3 weeks of conservative therapy, the patient was transferred to our hospital due to uncontrolled fever, aphasia, and aggravated motor weakness. Contrast-enhanced computed tomography showed a rim-enhanced cystic mass with peripheral edema, prompting trephination to drain the cystic fluid. The drained fluid was yellowish-mucoid, similar to a pus. Specimens from the drained fluid and urine S. typhimurium were cultured and microbiologically analyzed. We administered ceftazidime 2,000 mg and vancomycin 2,000 mg/day for 6 weeks intravenously and changed ceftriaxone 2,000 mg/day for an additional 3 weeks due to a drug eruption. The patient recovered with no neurological deficits. Surgical drainage of the intracranial abscess and prolonged sensitive antibiotic therapy is essential to obtain positive results.
KEYWORD
Brain abscess, Intracerebral hemorrhage, Salmonella typhimurium
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