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West Ashley Library
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Secondary Bacterial Infection of a Solitary Cysticercus Granuloma.
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- Author(s): Abraham, Ananth1 (AUTHOR); Bindra, Mandeep2 (AUTHOR); Chacko, Ari1 (AUTHOR); Abraham, Ananth P3 (AUTHOR); Bindra, Mandeep Singh4 (AUTHOR); Chacko, Ari George3 (AUTHOR)
- Source:
Neurology India. May/Jun2020, Vol. 68 Issue 3, p684-687. 4p.- Subject Terms:
- Source:
- Additional Information
- Subject Terms:
- Abstract: The most common presenting form of neurocysticercosis in the Indian subcontinent is a solitary cysticercus granuloma (SCG). Patients with typical SCGs almost never require any form of surgical intervention. Herein, we report an extremely rare case of bacterial superinfection of a left frontal SCG in a 23-year-old female, resulting in severe perilesional edema and mass effect. The patient had to undergo an emergency left decompressive hemicraniectomy and excision of the infected granuloma. Serum enzyme-linked immunoelectrotransfer blot (EITB) for cysticercal antibodies was positive and histopathological examination of the lesion revealed a cysticercus. The culture of the pus from within the lesion grew vancomycin-resistant Enterococcus spp. for which she was treated with linezolid for 6 weeks. At 6 months follow-up, she had residual motor dysphasia, right homonymous hemianopia, and right hemiparesis but was steadily improving. Secondary bacterial infection of an SCG is very uncommon and can be devastating. A high index of suspicion is therefore required when there is disproportionate perilesional edema and mass effect. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Neurology India is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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