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Journal of Korean Neurosurgical Society 1996;25(12): 2523-2528.
Cerebellar Botryomycosis: Case Report.
Tae Hoon Kang, Hyun Koo Lee, Jung Nam Sung, Young Joon Kim, Maeng Gi Cho, Na Hye Myung
1Department of Neurosurgery, College of Medicine, Dankook University, Choenan, Korea.
2Department of Pathology, College of Medicine, Dankook University, Choenan, Korea.
ABSTRACT
A 60 year old male patient with a medical history of pulmonary tuberculosis presented with severe headaches and general weakness. Radiological studies revealed mass lesions both in the right using and the right cerebellar hemisphere. Clinically metastatic brain tumor and tuberculoma were highly suspected. The cerebella mass was totally excised and an unusual pathologic result was reported as botryomycosis. According to literatures reviewed, botryomycosis is a chronic bacterial infectious lesion resembling actinomycosis and mycotic abscess and it has been frequently reported in the skin, subcutaneous lesions and other visceral organs, but the cases of brain involvement were extremely rare. This article is a case report of a cerebellar botryomycosis. The pathologic characteristics and the differential diagnosis of botryomycosis are discussed.
Key Words: Botryomycosis; Actinomycosis; Mycotic abscess
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