Seeding of a cavernous angioma with Mycoplasma hominis: Case report

Paul House; James Dunn; Karen Carroll; Joel MacDonald; Johannes Schramm; Carlo Schaller; Robert G. Grossman; Stephen J. Haines; Issam A. Awad

doi:10.1227/01.NEU.0000080064.21806.28

Seeding of a cavernous angioma with Mycoplasma hominis: Case report

Paul House, James Dunn, Karen Carroll, Joel MacDonald, Johannes Schramm, Carlo Schaller, Robert G. Grossman, Stephen J. Haines, Issam A. Awad

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Abstract

OBJECTIVE AND IMPORTANCE: To describe a unique case of hematogenous seeding of a cavernous angioma with the commensal organism Mycoplasma hominis. CLINICAL PRESENTATION: A 40-year-old female patient presented with a severe headache and acute left facial nerve palsy. Imaging studies revealed a right frontal mass lesion with characteristics of a cavernous angioma. INTERVENTION: The patient underwent a craniotomy for cavernous angioma resection. Purulent material was noted at the time of resection, and no hemorrhage was observed. Despite antibiotic therapy, the patient required repeat craniotomies for subsequent abscess treatment. M. hominis was identified as the pathogen. CONCLUSION: M. hominis is a rare cause of brain abscesses and can be difficult to eradicate. Cavernous angiomas can be seeded hematogenously.

Original language	English (US)
Pages (from-to)	749-753
Number of pages	5
Journal	Neurosurgery
Volume	53
Issue number	3
DOIs	https://doi.org/10.1227/01.NEU.0000080064.21806.28
State	Published - Sep 1 2003
Externally published	Yes

Keywords

Cavernous angioma
Mycoplasma hominis

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abstract = "OBJECTIVE AND IMPORTANCE: To describe a unique case of hematogenous seeding of a cavernous angioma with the commensal organism Mycoplasma hominis. CLINICAL PRESENTATION: A 40-year-old female patient presented with a severe headache and acute left facial nerve palsy. Imaging studies revealed a right frontal mass lesion with characteristics of a cavernous angioma. INTERVENTION: The patient underwent a craniotomy for cavernous angioma resection. Purulent material was noted at the time of resection, and no hemorrhage was observed. Despite antibiotic therapy, the patient required repeat craniotomies for subsequent abscess treatment. M. hominis was identified as the pathogen. CONCLUSION: M. hominis is a rare cause of brain abscesses and can be difficult to eradicate. Cavernous angiomas can be seeded hematogenously.",

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AU - House, Paul

AU - Dunn, James

AU - Carroll, Karen

AU - MacDonald, Joel

AU - Schramm, Johannes

AU - Schaller, Carlo

AU - Grossman, Robert G.

AU - Haines, Stephen J.

AU - Awad, Issam A.

PY - 2003/9/1

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N2 - OBJECTIVE AND IMPORTANCE: To describe a unique case of hematogenous seeding of a cavernous angioma with the commensal organism Mycoplasma hominis. CLINICAL PRESENTATION: A 40-year-old female patient presented with a severe headache and acute left facial nerve palsy. Imaging studies revealed a right frontal mass lesion with characteristics of a cavernous angioma. INTERVENTION: The patient underwent a craniotomy for cavernous angioma resection. Purulent material was noted at the time of resection, and no hemorrhage was observed. Despite antibiotic therapy, the patient required repeat craniotomies for subsequent abscess treatment. M. hominis was identified as the pathogen. CONCLUSION: M. hominis is a rare cause of brain abscesses and can be difficult to eradicate. Cavernous angiomas can be seeded hematogenously.

AB - OBJECTIVE AND IMPORTANCE: To describe a unique case of hematogenous seeding of a cavernous angioma with the commensal organism Mycoplasma hominis. CLINICAL PRESENTATION: A 40-year-old female patient presented with a severe headache and acute left facial nerve palsy. Imaging studies revealed a right frontal mass lesion with characteristics of a cavernous angioma. INTERVENTION: The patient underwent a craniotomy for cavernous angioma resection. Purulent material was noted at the time of resection, and no hemorrhage was observed. Despite antibiotic therapy, the patient required repeat craniotomies for subsequent abscess treatment. M. hominis was identified as the pathogen. CONCLUSION: M. hominis is a rare cause of brain abscesses and can be difficult to eradicate. Cavernous angiomas can be seeded hematogenously.

KW - Cavernous angioma

KW - Mycoplasma hominis

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Seeding of a cavernous angioma with Mycoplasma hominis: Case report

Abstract

Keywords

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