Safiye Bilge GÜÇLÜ KAYTA, Sevil ALKAN, Anıl AKÇA, Taylan ÖNDER, Alper ŞENER

Maligniteye Eşlik Eden Bir Santral Sinir Sistemi Aktinomikozu

Actinomyces, ağız içi florada bulunan ve nadiren granülomatoz süpüratif infeksiyona yol açan gram pozitif, anaerob bir basildir. Servikofasiyal infeksiyon genellikle kötü ağız hijyeni veya immunsupresif hastalığı bulunan kişilerde, etkenin daha derine ulaşmasına olanak sağlayan durumlarda ortaya çıkar. Actinomyces türlerinin santral sinir sistemi tutulumu oldukça nadir görülür. Radyolojik ve klinik olarak santral sinir sistemi maligniteleriyle karışabileceği gibi, olgumuzda olduğu gibi bunlarla birlikte de görülebilir. Bu tür vakalarda hastaların mutlaka klinik, görüntüleme bulguları ve mikrobiyolojik ve patolojik incelemelerle birlikte değerlendirilmesi gerekir. Bu olgu sunumunda, merkezi sinir sistemi malignitesine eşlik eden bir Actynomices spp.’e bağlı beyin absesi olgusu sunulmak istenmiştir.

Anahtar Kelimeler:

Aktinomikoz, santral sinir sistemi, malignite, beyin, abse

A Central Nervous System Actinomycosis Accompanying Malignancy

Actinomyces is a gram-positive anaerobic bacillus found in the intraoral flora and rarely causes granulomatous suppurative infection. Cervicofacial infection usually occurs in people with poor oral hygiene or immunosuppressive disease, in situations that allow the agent to reach deeper. Central nervous system involvement of Actinomyces species is extremely rare. It can be confused with central nervous system malignancies radiologically and clinically. In such cases, patients must be evaluated together with clinical, imaging findings, and microbiological and pathological examinations. In this case report, we aimed to present a case of brain abscess due to Actynomices spp. which accompanying with central nervous system malignancy.

Keywords:

Actinomycosis, central nervous system, malignancy, brain, abcess,

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