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Central European Journal of Medicine

, Volume 6, Issue 4, pp 470–474 | Cite as

Vancomycin-resistant Enterococcus faecium-associated encephalitis and concurrent cerebellitis

  • Kyusik Kang
  • Sung-Soo Yoon
  • Byung-Woo Yoon
Case Report
  • 57 Downloads

Abstract

Enterococci are uncommon etiologic agents of central nervous system infections. We describe a case of nosocomial encephalitis and concurrent cerebellitis associated with Enterococcus faecium in a man, with extranodal natural killer/T-cell lymphoma, nasal type, who underwent high-dose chemotherapy and autologous peripheral blood stem cell transplantation. Brain magnetic resonance images showed lesions in the bihemispheral cerebellar cortex with swelling and several small lesions in both cerebral hemispheres. The blood and cerebrospinal fluid cultures were positive for vancomycin-resistant E. faecium. Vancomycin-resistant E. faecium can cause encephalitis and concurrent cerebellitis in an immunocompromised patient who underwent autologous peripheral blood stem cell transplantation.

Keywords

Cerebellitis Encephalitis Enterococcus faecium Vancomycin Magnetic resonance imaging Peripheral blood stem cell transplantation Extranodal NK-T-cell lymphoma 

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Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Department of NeurologyEulji General HospitalNowon-gu, SeoulRepublic of Korea
  2. 2.Cancer Research InstituteSeoul National UniversitySeoulRepublic of Korea
  3. 3.Department of Internal MedicineSeoul National University College of MedicineSeoulRepublic of Korea
  4. 4.Clinical Research InstituteSeoul National University HospitalSeoulRepublic of Korea
  5. 5.Department of NeurologySeoul National University College of MedicineSeoulRepublic of Korea
  6. 6.Clinical Research Center for StrokeSeoul National University HospitalSeoulRepublic of Korea

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