Volume 14, Issue 1 (5-2000)                   Med J Islam Repub Iran 2000 | Back to browse issues page

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F. TABATABAI S A, SABERI H, MEHRAZIN M. IN TRACRANIAL SUPPURATION FOLLOWING NEUROSURGICAL PROCEDURES DUE TO BRUCELLA SPECIES. Med J Islam Repub Iran 2000; 14 (1) :97-100
URL: http://mjiri.iums.ac.ir/article-1-909-en.html
IN TRACRANIAL SUPPURATION FOLLOWING NEUROSURGICAL PROCEDURES DUE TO BRUCELLA SPECIES
SEYED ALI F. TABATABAI , HOOSHANG SABERI , MASOUD MEHRAZIN
From the Dept. of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, I.R. Iran.
Abstract:   (4501 Views)
Reported here are two cases of delayed postsurgical brucella abscess within the cranium, treated successfully by reoperation and appropriate medical therapy. Both patients had an occupational exposure to the pathogenic organism. Systemic symptoms of brucellosis became manifest postoperatively in case I and were present in case II long before operation. The diagnosis was confirmed by serology and positive culture. Later an intracranial abscess developed in both cases at the previous operative sites. Hematogenous spread of bacteria to the locally low resistance host tissue was speculated as the possible mechanism. Successful management was accomplished by reoperation, comprised of local drainage and debridement followed by a combined anti brucella drug regimen for a period of 6 months.
Keywords: Brucellosis. Brain abscess, Local host resistance, Postoperative infection.
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Type of Study: case report | Subject: Neurosurgery
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