Brain abscess caused by Paenibacillus lactis

Ivo Inkov Kehayov; Polina Miroslavova Angelova; Borislav Dimitrov Kitov

doi:10.3855/jidc.17209

Brain abscess caused by Paenibacillus lactis

Authors

Ivo Inkov Kehayov Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria https://orcid.org/0000-0001-5799-1739
Polina Miroslavova Angelova Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria https://orcid.org/0000-0002-1481-3630
Borislav Dimitrov Kitov Clinic of Neurosurgery, Sv. Georgi University Hospital, Plovdiv, Bulgaria https://orcid.org/0000-0002-0036-9006

DOI:

https://doi.org/10.3855/jidc.17209

Keywords:

Paenibacillus lactis, brain abscess, infection, CNS, surgery

Abstract

We present a case of a 30-year-old male patient who was admitted to our institution with a 4-month history of persistent headache, pain in the left half of the face and the left ear. The initial magnetic resonance imaging detected an inflammatory process in the left pyramid interpreted as petrous apicitis. Subsequently, he developed generalized seizures. Follow-up computed tomography scanning with contrast enhancement demonstrated newly-formed brain abscess in the basal region of the left temporal lobe. The patient underwent microsurgical evacuation and resection of the abscess. Microbiological examination isolated Paenibacillus lactis as a causative microorganism. During the postoperative period, the patient further developed life-threatening meningitis that was successfully managed with prolonged intravenous antimicrobial treatment. Six-months follow-up examination confirmed complete neurological recovery with no signs of recurrence based on Magnetic Resonance Imaging (MRI). To the best of our knowledge, this is the first reported case of brain abscess caused by Paenibacillus lactis in the medical literature.

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Published

2023-03-31

How to Cite

Inkov Kehayov I, Miroslavova Angelova P, Dimitrov Kitov B (2023) Brain abscess caused by Paenibacillus lactis. J Infect Dev Ctries 17:418–422. doi: 10.3855/jidc.17209

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Issue

Vol. 17 No. 03: March 2023

Section

Case Reports

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