We report the use of 16S ribosomal RNA gene amplification and sequencing to diagnose culture-negative intracerebral abscesses in younger patients. These 3 cases demonstrate the optimal application of gene sequencing from direct specimens for patients with negative culture results compromised by antibacterial therapy but histories highly suggestive of acute bacterial infection.
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http://dx.doi.org/10.1086/587655 | DOI Listing |
Crit Care
April 2016
Fondazione IRCCS Ca’ Granda - Ospedale maggiore Policlinico, Milan, Italy
BMJ Case Rep
June 2013
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.
Mycotic cerebral aneurysm is a rare and potentially fatal complication of infective endocarditis. A young man was diagnosed with culture negative infective endocarditis of mitral valve with cerebral aneurysm. The patient was started on conservative management, but he died owing to intracerebral haemorrhage.
View Article and Find Full Text PDFIntern Med
August 2012
Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan.
A 70-year-old woman developed a headache for a month followed by right upper limb weakness. CT scan and MRI showed multiple ring-enhancing lesions. An intracerebral aspiration of an abscess was performed, but culture results were negative.
View Article and Find Full Text PDFBMJ Case Rep
November 2011
Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, United States.
Infective endocarditis remains a diagnostic and therapeutic challenge. The authors report an older male who presented with a lower extremities rash and signs of cardiac failure. Echocardiography showed vegetations attached to the bio-prosthetic aortic valve, however, with negative blood cultures.
View Article and Find Full Text PDFCases J
August 2009
Department of Neurosurgery, King Fahd Specialists Hospital, Al-Qassim, Saudi Arabia.
Introduction: A brain abscess is a focal, intracerebral infection that begins as a localized area of cerebritis and develops into a collection of pus surrounded by a well-vascularized capsule.
Case Presentation: An 18 year old male was diagnosed to have culture-negative bilateral subdural empyema, which was drained and the patient was discharged, only to return 3 months later with a left temporo-parietal abscess that was drained and continued to show no growth on cultures and was non-responsive to multiple antibiotics. As a final effort, chloramphenicol therapy was begun and the patient showed immediate improvement and made a relatively uneventful recovery.
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