Resumen
La actinomicosis y la candidiasis son microorganismos poco prevalentes en las neuroinfecciones, pero con el advenimiento de la infección por el virus de la inmunodeficiencia humana (VIH) se ha incrementado la frecuencia de casos por candidiasis. Con respecto a la infección por actinomyces, este es un diagnóstico diferencial que debe establecerse ante un cuadro de abscesos cerebrales, por lo cual es importante reconocer sus manifestaciones neurológicas y tenerlas presentes para proporcionar un tratamiento oportuno. Este apartado tiene como objetivo describir las principales características clínicas, el diagnóstico y el tratamiento de estos microorganismos, con respecto al compromiso neurológico.
Citas
Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ. 2011;343:d6099. doi: 10.1136/bmj.d6099.
Kononen E, Wade WG. Actinomyces and related organisms in human infections. Clin Microbiol Rev. 2015;28(2):419-42. doi: 10.1128/CMR.00100-14.
Scheld WM, Whitley RJ, Marra CM. Infections of the central nervous system. Philadelphia: Lippincott Williams & Wilkins; 2004.
Cintron JR, Del Pino A, Duarte B, Wood D. Abdominal actinomycosis. Dis Colon Rectum. 1996;39(1):105-8. doi: 10.1007/BF02048278.
Smego RA. Actinomycosis of the central nervous system. Rev Infect Dis. 1987;9(5):855-65. doi: 10.1093/clinids/9.5.855.
Clancy U, Ronayne A, Prentice MB, Jackson A. Actinomyces meyeri brain abscess following dental extraction. BMJ Case Rep. 2015;2015:bcr2014207548. doi: 10.1136/bcr-2014-207548.
Moazzam AA, Rajagopal SM, Sedghizadeh PP, Zada G, Habibian M. Intracranial bacterial infections of oral origin. J Clin Neurosci. 2015;22(5):800-6. doi: 10.1016/j.jocn.2014.11.015.
Armendariz-Guezala M, Undabeitia-Huertas J, Samprón-Lebed N, Michan-Mendez M, Ruiz-Diaz I, Úrculo-Bareño E. [Actinomycotic brain abscess in immunocompetent patient]. Cir Cir. 2017;85 Suppl 1:103-7. Español. doi: 10.1016/j.cir-cir.2016.10.007.
Haggerty CJ, Tender GC. Actinomycotic brain abscess and subdural empyema of odontogenic origin: case report and review of the literature. J Oral Maxillofac Surg. 2012;70(3):e210-3. doi: 10.1016/j.joms.2011.09.035.
Hwang CS, Lee H, Hong MP, Kim JH, Kim KS. Brain abscess caused by chronic invasive actinomycosis in the nasopharynx: A case report and literature review. Medicine (Baltimore). 2018;97(16):e0406. doi: 10.1097/MD.0000000000010406.
Koubaa M, Lahiani D, Mâaloul I, Fourati H, Chaari L, Marrakchi C, et al. Actinomycotic brain abscess as the first clinical manifestation of hereditary hemorrhagic telangiectasia--case report and review of the literature. Ann Hematol. 2013;92(8):1141-3. doi: 10.1007/s00277-012-1666-0.
Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, et al. Actinomycosis: etiology, clinical features, diagnosis, treatment, and management. Infect Drug Resist. 2014;7:183-97. doi: 10.2147/IDR.S39601.
Cardona-Ospina JA, Franco-Herrera D, Failoc-Rojas VE, Rodriguez-Morales AJ. Estimates of the incidence of actinomycosis in Colombia. Enferm Infecc Microbiol Clin. 2017;35(6):393-4. doi: 10.1016/j.eimc.2015.07.007.
Heo SH, Shin SS, Kim JW, Lim HS, Seon HJ, Jung SI, et al. Imaging of actinomycosis in various organs: a comprehensive review Radiographics. 2014;34(1):19-33. doi: 10.1148/rg.341135077.
de la Monte SM, Gupta PK, White CL. Systemic Actinomyces infection. A potential complication of intrauterine contraceptive devices. JAMA. 1982;248(15):1876-7. doi: 10.1001/jama.248.15.1876.
Gajdacs M, Urban E, Terhes G. Microbiological and clinical aspects of cervicofacial actinomyces infections: an overview. Dent J (Basel). 2019;7(3). doi: 10.3390/dj7030085.
Pizzo K, Arnold C, Wispelwey B. Actinomyces neuii causing vertebral osteomyelitis. Am J Med Sci. 2017;353(4):407-10. doi: 10.1016/j.amjms.2016.08.017.
Salvati M, Ciappetta P, Raco A, Artico M, Artizzu S. Primary intracranial actinomycosis. Report of a case and review of the literature. Zentralbl Neurochir. 1991;52(2):95-8.
Kocsis B, Tiszlavicz Z, Jakab G, Brassay R, Orban M, Sarkany A, et al. Case report of Actinomyces turicensis meningitis as a complication of purulent mastoiditis. BMC Infect Dis. 2018;18(1):686. doi: 10.1186/s12879-018-3610-.
Lubomski M, Dalgliesh J, Lee K, Damodaran O, McKew G, Reddel S. cavernous sinus infection: a case and systematic literature review. Pract Neurol. 2018;18(5):373-7. doi: 10.1136/practneurol-2017-001844.
Vazquez Guillamet LJ, Malinis MF, Meyer JP. Emerging role of Actinomyces meyeri in brain abscesses: A case report and literature review. IDCases. 2017;10:26-9.doi: 10.1016/j.idcr.2017.07.007.
Salvati M, Puzzilli F, Bristot R, Raguso M, Artizzu S, Caruso R, et al. [Intracranial actinomycosis]. G Chir. 1994;15(5):255-7. Italiano.
Brook I. Actinomycosis: diagnosis and management. South Med J. 2008;101(10):1019-2 doi:10.1097/SMJ.0b013e3181864c1f
Bennett JE, Dolin R Blaser MJ. Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Elsevier; 2015.
Singhi P, Saini AG. Fungal and parasitic CNS infections. Indian J Pediatr. 2019;86(1):83-90. doi: 10.1007/s12098-017-2487-x.
Gavino C, Cotter A, Lichtenstein D, Lejtenyi D, Fortin C, Legault C, et al. CARD9 deiciency and spontaneous central nervous system candidiasis: complete clinical remission with GM-CSF therapy. Clin Infect Dis. 2014;59(1):81-4. doi: 10.1093/cid/ciu215.
Sánchez-Portocarrero J, Pérez-Cecilia E, Corral O, Romero-Vivas J, Picazo JJ. The central nervous system and infection by Candida species. Diagn Microbiol Infect Dis. 2000;37(3):169-79. doi: 10.1016/s0732-8893(00)00140-1.
Centers for Disease Control and Prevention. Invasive candidiasis statistics 2020. Disponible en: https://www.cdc.gov/fungal/diseases/candidiasis/invasive /statistics.html#:~:text=Invasive%20Candidiasis%20Statistics&text=How%20common%20is%20invasive%20candidiasis,geographic%20location%20and%20patient%20population.
Magill SS, O'Leary E, Janelle SJ, Thompson DL, Dumyati G, Nadle J, et al. Changes in prevalence of health care-associated infections in U. S. Hospitals. N Engl J Med. 2018;379(18):1732-44. doi: 10.1056/NEJMoa1801550.
Cortés JA. Fungal bloodstream infections in tertiary care hospitals in Colombia. Rev Iberoam Micol. 2011;28:74-8. doi: 10.1016/j.riam.2010.12.002.
Alberto CJ. Protocol for diagnosis and treatment of adult patients with systemic candidiasis. Infectio. 2012;16:118-22 doi: 10.1043/1543-2165(2003)127<868:GBOCA>2.0.CO;2.
Cortés JA, Melgarejo-Moreno LN. Candidemia en Colombia. Biomédica. 2020;40:195-207. doi :10.7705/biomedi-ca.4400.
McCarthy MW, Kalasauskas D, Petraitis V, Petraitiene R, Walsh TJ. Fungal infections of the central nervous system in children. J Pediatric Infect Dis Soc. 2017;6(3):e123-e33. doi: 10.1093/jpids/pix059.
Góralska K, Blaszkowska J, Dzikowiec M. Neuroinfections caused by fungi. Infection. 2018;46(4):443-59. doi: 10.1007/s15010-018-1152-2.
O'Brien D, Stevens NT, Lim CH, O'Brien DF, Smyth E, Fitzpatrick F, et al. Candida infection of the central nervous system following neurosurgery: a 12-year review. Acta Neurochir (Wien). 2011;153(6):1347-50. doi: 10.1007/s00701-011-0990-9.
Panackal AA, Williamson PR. Fungal infections of the central nervous system. Continuum (Minneap Minn). 2015;21(6 Neuroinfectious Disease):1662-78. doi: 10.1055/s-0039-1688916.
Epelbaum O, Chasan R. Candidemia in the Intensive Care Unit. Clin Chest Med. 2017;38(3):493-509. doi: 10.1016/j.ccm.2017.04.010.
Mao J, Li J, Chen D, Zhang J, Du YN, Wang YJ, et al. MRI-DWI improves the early diagnosis of brain abscess induced by Candida albicans in preterm infants. Transl Pediatr. 2012;1(2):76-84. doi: 10.3978/j.issn.2224-4336.2012.02.04.
Yu G. Rare appearance of Candida tropicalis infection of the brain: Multiple micro-abscesses combined with diffuse hemorrhages. Radiol Infect Dis. 2014;1(1):33-36. doi: 10.1016/j.jrid.2014.10.003.
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