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Campylobacter fetus seeding of a cavernous malformation resulting in brain abscess: case report and literature review. | LitMetric

AI Article Synopsis

  • Microbial seeding of cerebral cavernous malformations is very rare, with only three cases documented before this report.
  • This report details the first known instance where Campylobacter fetus, an opportunistic pathogen, caused infection in a brain malformation in a healthy 16-year-old girl.
  • After surgical intervention and subsequent tests, the patient was diagnosed with C. fetus meningoencephalitis, highlighting that the malformation likely existed before the infection occurred rather than forming due to it.

Article Abstract

Microbial seeding of a cerebral cavernous malformation is an extremely rare occurrence with only 3 cases reported in the literature thus far. Campylobacter fetus is an opportunistic pathogen that rarely causes neurological infection with only 3 cases of C. fetus cerebral abscesses and 38 cases of C. fetus meningitis reported in the literature. There have been no cases of cerebral cavernous malformation seeding by C. fetus reported to date. We report the first case of cerebral cavernous malformation seeding by C. fetus, a case occurring in a previously healthy 16-year-old female who presented with suspected left cerebellar cavernous malformation with subacute hemorrhage. She underwent a suboccipital craniectomy for the resection of the cavernous malformation with additional intraoperative findings suggestive of cerebral abscess. Following positive blood and CSF cultures and surgical pathology results, the patient was diagnosed with C. fetus meningoencephalitis with co-infected left cerebellar cavernous malformation. This is the fourth reported case of microbial seeding of a cerebral cavernous malformation, and to our knowledge, the first case of a C. fetus-infected cavernous malformation. Compared to previous reports, the clinical events of this case strongly support the presence of a preexisting lesion that was secondarily seeded versus de novo formation as a result of prior infection.

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Source
http://dx.doi.org/10.1007/s00381-023-06074-0DOI Listing

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