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Journal of Medical Case Reports

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Open Access 01-12-2011 | Case report

Mycoplasma hominis brain abscess following uterus curettage: a case report

Authors: Mouhamad Al Masalma, Michel Drancourt, Henry Dufour, Didier Raoult, Pierre-Edouard Fournier

Published in: Journal of Medical Case Reports | Issue 1/2011

Abstract

Introduction

Mycoplasma hominis is mostly known for causing urogenital infections. However, it has rarely been described as an agent of brain abscess.

Case presentation

We describe a case of M. hominis brain abscess in a 41-year-old Caucasian woman following uterus curettage. The diagnosis was obtained by 16S rDNA amplification, cloning and sequencing from the abscess pus, and confirmed by a specifically designed real-time polymerase chain reaction assay.

Conclusions

Findings from our patient's case suggest that M. hominis should be considered as a potential agent of brain abscess, especially following uterine manipulation.

Al Masalma M, Armougom F, Scheld WM, Dufour H, Roche PH, Drancourt M, Raoult D: The expansion of the microbiological spectrum of brain abscesses with use of multiple 16S ribosomal DNA sequencing. Clin Infect Dis. 2009, 48: 1169-1178. 10.1086/597578.CrossRefPubMed

Douglas MW, Fisher DA, Lum GD, Roy J: Mycoplasma hominis infection of a subdural haematoma in the peripartum period. Pathology. 2003, 35: 452-454. 10.1080/00313020310001602684.CrossRefPubMed

Escamilla F, Fernandez MD, Espigares A, Arnal C, Ortega A, Garcia T: Subdural empyema due to Mycoplasma hominis following epidural anesthesia. Rev Neurol. 2000, 30: 326-328.PubMed

Kupila L, Rantakokko-Jalava K, Jalava J, Peltonen R, Marttila RJ, Kotilainen E, Kotilainen P: Brain abscess caused by Mycoplasma hominis: a clinically recognizable entity?. Eur J Neurol. 2006, 13: 550-551. 10.1111/j.1468-1331.2006.01209.x.CrossRefPubMed

Payan DG, Seigal N, Madoff S: Infection of a brain abscess of Mycoplasma hominis. J Clin Microbiol. 1981, 14: 571-573.PubMedPubMedCentral

Rao RP, Ghanayem NS, Kaufman BA, Kehl KS, Gregg DC, Chusid MJ: Mycoplasma hominis and Ureaplasma species brain abscess in a neonate. Pediatr Infect Dis J. 2002, 21: 1083-1085. 10.1097/00006454-200211000-00026.CrossRefPubMed

Zheng X, Olson DA, Tully JG, Watson HL, Cassell GH, Gustafson DR, Svien KA, Smith TF: Isolation of Mycoplasma hominis from a brain abscess. J Clin Microbiol. 1997, 35: 992-994.PubMedPubMedCentral

McMahon DK, Dummer JS, Pasculle AW, Cassell G: Extragenital Mycoplasma hominis infections in adults. Am J Med. 1990, 89: 275-281. 10.1016/0002-9343(90)90338-E.CrossRefPubMed

Taylor-Robinson D: Genital mycoplasma infections. Clin Lab Med. 1989, 9: 501-523.PubMed

10.

McCormack WM: Susceptibility of mycoplasmas to antimicrobial agents: clinical implications. Clin Infect Dis. 1993, 17: S200-S201. 10.1093/clinids/17.Supplement_1.S200.CrossRefPubMed

11.

Mathisen GE, Johnson JP: Brain abscess. Clin Infect Dis. 1997, 25: 763-779. 10.1086/515541.CrossRefPubMed

12.

Myhre EB, Mardh PA: Treatment of extragenital infections caused by Mycoplasma hominis. Sex Transm Dis. 1983, 10: 382-385.PubMed

13.

Krijnen MR, Hekker T, Algra J, Wuisman PI, Van Royen BJ: Mycoplasma hominis deep wound infection after neuromuscular scoliosis surgery: the use of real-time polymerase chain reaction (PCR). Eur Spine J. 2006, 15: 599-603. 10.1007/s00586-005-0055-y.CrossRefPubMedPubMedCentral

14.

Drancourt M, Berger P, Raoult D: Systematic 16S rRNA gene sequencing of atypical clinical isolates identified 27 new bacterial species associated with humans. J Clin Microbiol. 2004, 42: 2197-2202. 10.1128/JCM.42.5.2197-2202.2004.CrossRefPubMedPubMedCentral

15.

McCormack WM: Epidemiology of Mycoplasma hominis. Sex Transm Dis. 1983, 10: 261-262.CrossRefPubMed

16.

Simberkoff MS, Toharsky : Mycoplasmemia in adult male patients. JAMA. 1976, 236: 2522-2524. 10.1001/jama.236.22.2522.CrossRefPubMed

17.

Burke DS, Madoff S: Infection of a traumatic pelvic hematoma with Mycoplasma hominis. Sex Transm Dis. 1978, 5: 65-67. 10.1097/00007435-197804000-00007.CrossRefPubMed

18.

Kailath EJ, Hrdy DB: Hematoma infected with Mycoplasma hominis. Sex Transm Dis. 1988, 15: 114-115. 10.1097/00007435-198804000-00010.CrossRefPubMed

19.

Koshiba H, Koshiba A, Daimon Y, Noguchi T, Iwasaku K, Kitawaki J: Hematoma and abscess formation caused by Mycoplasma hominis following cesarean section. Int J Womens Health. 2011, 3: 15-18.CrossRefPubMedPubMedCentral

20.

Legg JM, Titus TT, Chambers I, Wilkinson R, Koerner RJ, Gould FK: Hematoma infection with Mycoplasma hominis following transplant nephrectomy. Clin Microbiol Infect. 2000, 6: 619-621. 10.1046/j.1469-0691.2000.00147.x.CrossRefPubMed

21.

Yamaguchi M, Kikuchi A, Ohkusu K, Akashi M, Sasahara J, Takakuwa K, Tanaka K: Abscess formation due to Mycoplasma hominis infection after cesarean section. J Obstet Gynaecol Res. 2009, 35: 593-596. 10.1111/j.1447-0756.2008.00993.x.CrossRefPubMed

22.

Orange GV, Jones M, Henderson IS: Wound and perinephric haematomata infection with Mycoplasma hominis in a renal transplant recipient. Nephrol Dial Transplant. 1993, 8: 1395-1396.PubMed

23.

Jacobs F, Van de Stadt J, Gelin M, Nonhoff C, Gay F, Adler M, Thys JP: Mycoplasma hominis infection of perihepatic hematomas in a liver transplant recipient. Surgery. 1992, 111: 98-100.PubMed

24.

Ridgway EJ, Allen KD: Mycoplasma hominis abscess secondary to respiratory tract infection. J Infect. 1994, 29: 207-210. 10.1016/S0163-4453(94)90818-4.CrossRefPubMed

Title: Mycoplasma hominis brain abscess following uterus curettage: a case report
Authors: Mouhamad Al Masalma
Michel Drancourt
Henry Dufour
Didier Raoult
Pierre-Edouard Fournier
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-5-278

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Mycoplasma hominis brain abscess following uterus curettage: a case report

Abstract

Introduction

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusions

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