As the COVID-19 pandemic progresses, complications and unusual presentations of the disease have been described. Among them, the involvement of distinct parts of the neuroaxis. We report a rare case of brain abscess in elderly after SARS-Cov-2 infection readmitted in our health unit. Patient was treated with ceftriaxone, metronidazole and vancomycin with good clinical and therapeutic response. The satisfactory conduct of the case was only possible by the involvement of a multiprofessional team, which sought early diagnosis, surgical intervention and adequate duration of treatment.
References
[1]
Lancet, T. (2020) COVID-19 in Brazil: “So What?”. Lancet, 395, 1461. https://doi.org/10.1016/S0140-6736(20)31095-3
[2]
Barjud, M.B. (2020) COVID-19, uma doença sistêmica. Revista da FAESF, 4, 4-10. https://doi.org/10.58969/25947125.4.0.2020.108
[3]
Whittaker, A., Anson, M. and Harky, A. (2020) Neurological Manifestations of COVID-19: A Systematic Review and Current Update. Acta Neurologica Scandinavica, 142, 14-22. https://doi.org/10.1111/ane.13266
[4]
Brook, I. (2017) Microbiology and Treatment of Brain Abscess. Journal of Clinical Neuroscience, 38, 8-12. https://doi.org/10.1016/j.jocn.2016.12.035
[5]
Brouwer, M.C. and van de Beek, D. (2017) Epidemiology, Diagnosis, and Treatment of Brain Abscesses. Current Opinion in Infectious Diseases, 30, 129-134. https://doi.org/10.1097/QCO.0000000000000334
[6]
Zhou, P., Liu, Z., Chen, Y., Xiao, Y., Huang, X. and Fan, X.G. (2020) Bacterial and Fungal Infections in COVID-19 Patients: A Matter of Concern. Infection Control & Hospital Epidemiology, 41, 1124-1125. https://doi.org/10.1017/ice.2020.156
