Cerebral Abscess due to Gemella morbillorum

Spagnoli, D.; Innocenti, L.; Ranzi, M. L.; Tomei, G.; Villani, R.

doi:10.1007/s10096-003-0976-5

European Journal of Clinical Microbiology & Infectious Dise

2003

DOI: 10.1007/s10096-003-0976-5

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Cerebral Abscess due to Gemella morbillorum

D. Spagnoli

L. Innocenti

M. L. Ranzi

et al.

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Cited by 12 publications

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“…G. morbillorum is a normal resident microbiota of several mucosal surfaces, including the oropharynx and the gastrointestinal and female genital tract, and its clinical significance is unclear. Infections by G. morbillorum of the central nervous system (CNS) are unusual, and brain abscesses reported in the literature include description of only four clinical cases (1)(2)(3). Endocarditis, septic shock, and other cardiovascular infections (4) are the most frequently reported diseases caused by such organisms; however, sinusitis, pneumonia, gynecological infections, empyema, septic arthritis, and infections of the eye can also be found in the literature (3).…”

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confidence: 99%

An Unusual Case of Brain Abscess by <i>Gemella morbillorum</i>

Liberto,

Matera,

Puccio

et al. 2006

Jpn J Infect Dis

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A case of deep brain abscess by Gemella morbillorum is described. Due to high fever, lethargy, severe headache, and the risk of intraventricular rupture of the suppurative lesion, a CT-guided stereotactic aspiration of the abscess was successfully performed. The patient responded well to a 6-week course of meropenem, metronidazole, and fluconazole. Gemella spp. should not be considered as trivial commensals of the mucous membranes, but appear as emerging pathogens involved in endocarditis, septic shock, and necrotizing pneumonia, as well as in serious intracranial infections.

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mentioning

confidence: 99%

An Unusual Case of Brain Abscess by <i>Gemella morbillorum</i>

Liberto,

Matera,

Puccio

et al. 2006

Jpn J Infect Dis

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Chronic sinus disease and epidural abscess: Gemella morbillorum as emerging cause of central nervous system infections

et al. 2012

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Rare Pathogens of Central Nervous System: a Systematic Literature Review and Report of Two New Cases of Cerebral Abscesses Due to Gemella morbillorum

Vetrano

Caroli

Spagnoli

et al. 2019

SN Compr. Clin. Med.

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To evaluate and characterize cases of brain abscess in immunocompetent patients due to Gemella morbillorum, an opportunistic Gram-positive coccus. Two cases of brain abscess due to this pathogen which occurred at the authors' native institution in 2013 and 2016 were analyzed. Moreover, a literature search regarding brain abscess surgically treated due to this pathogen was performed in PubMed database, following PRISMA statement. The final review comprised ten articles for a total of 11 patients-all immunocompetent-with a median age of 50.2 years (range 28-77); almost total were males. Neurological deficits and fever were the most common initial signs; seizures were present only in two cases. Surgical treatment was based on craniotomy and excision in six cases; the remaining five underwent stereotactic aspiration. The antibiotic initial therapy was intravenous in all cases. The average duration of therapy was of six weeks with a minimum of four and maximum of ten. One patient died, while in the other cases, a complete or partial regression of presenting symptoms and disappearing of MRI signs at intermediate follow-up were obtained. In eight patients (72%), it was possible to identify a primary infection or a predisposing factor (as cardiac diseases or septic arthritis). G. morbillorum is an emerging pathogen involved in brain abscesses. Even if it is infrequently reported, the identification of specific characteristics that may increase its neurotropism and virulence also in immunocompetent patients can help to better understand such a rare pathology.

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Cerebral Abscess due to Gemella morbillorum

Cited by 12 publications

References 6 publications

An Unusual Case of Brain Abscess by <i>Gemella morbillorum</i>

An Unusual Case of Brain Abscess by <i>Gemella morbillorum</i>

Chronic sinus disease and epidural abscess: Gemella morbillorum as emerging cause of central nervous system infections

Rare Pathogens of Central Nervous System: a Systematic Literature Review and Report of Two New Cases of Cerebral Abscesses Due to Gemella morbillorum

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