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Year : 2021  |  Volume : 69  |  Issue : 2  |  Page : 475--477

A Case of CNS Actinomycosis: Rarer than Rare!

1 Department of General Medicine, Nanavati Superspeciality Hospital, Mumbai, Maharashtra, India
2 Neurosciences (Neurology and Neurosurgery), Nanavati Superspeciality Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Harshad S Limaye
Dr. Balabhai Nanavati Hospital, SV Road, Vile Parle West, Mumbai - 400 054, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.314572

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We report a case of cerebral actinomycosis in a 62-year-old male who presented with right-sided weakness and focal convulsions. MRI scan showed a solid intra axial space occupying lesion in the left frontal lobe. Left parietal craniotomy with intra-operative USG guided aspiration and excision of the mass (containing necrotic material) was done. Actinomyces israelii was isolated from the aspirated material. Patient received ceftriaxone and clindamycin for 12 weeks. Physiotherapy and anti-epileptic drugs were continued. On subsequent follow-up visits, his power improved to 5/5 in lower limb, 4/5 in proximal upper limb, 2/5 in distal upper limb. Actinomycosis can cause diverse clinical manifestations, and therefore clinical suspicion is key to diagnosis. Early diagnosis and treatment can lead to good treatment outcomes.


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Online since 20th March '04
Published by Wolters Kluwer - Medknow