Journal Information
Vol. 30. Issue 6.
Pages 305-308 (November - December 2019)
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Vol. 30. Issue 6.
Pages 305-308 (November - December 2019)
Caso clínico
Absceso en la fosa posterior por Streptococcus intermedius tras una limpieza dental en una paciente inmunocompetente
Streptococcus intermedius posterior fossa abscess after a minor dental procedure in an immunocompetent woman
Antonio José Vargas López
Corresponding author
ajvargaslopez@hotmail.com

Autor para correspondencia.
, José Manuel Galicia Bulnes, Rajab Al Ghanem Ghanem, Osamah El Rubaidi Abdullah
Servicio de Neurocirugía, Hospital Neurotraumatológico, Complejo Hospitalario de Jaén, Jaén, España
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Resumen

Presentamos el caso de una mujer de 52 años, sin antecedentes de interés, que fue derivada a nuestro centro tras ser diagnosticada de una lesión ocupante de espacio en el hemisferio cerebeloso derecho. La sospecha inicial era de metástasis. En la RMN cerebral, sin embargo, se apreciaba una marcada restricción en la secuencia de difusión concordante con un absceso cerebeloso. La paciente se había sometido a una limpieza dental tres semanas antes. El análisis microbiológico tras la evacuación quirúrgica de la lesión mostró la presencia de Streptococcus intermedius.

Palabras clave:
Absceso cerebeloso
Streptococcus intermedius
Odontogénico
Procedimiento odontológico menor
Abstract

A 52-year-old woman with no relevant previous medical history was diagnosticated of an infratentorial bulky cerebellar mass. The mass showed restricted diffusion on MR images, which was consistent with cerebellar abscess. The patient had undergone a minor dental procedure three weeks before. Microbiological analysis after surgical evacuation of the mass confirmed the presence of Streptococcus intermedius.

Keywords:
Cerebellar abscess
Streptococcus intermedius
Odontogenic
Minor odontogenic procedure

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