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J Med Microbiol 58 (2009), 1652-1656; DOI: 10.1099/jmm.0.013367-0
© 2009 Society for General Microbiology
ISSN 0022-2615

Gemella morbillorum: an underestimated aetiology of central nervous system infection?

Paolo Benedetti1, Mario Rassu2, Michele Branscombe3, Armine Sefton3 and Giampietro Pellizzer1

1 Unità Operativa di Malattie Infettive e Tropicali, Ospedale S. Bortolo, Viale F. Rodolfi 37, 36100 Vicenza, Italy

2 Laboratorio di Microbiologia, Ospedale S. Bortolo, Viale F. Rodolfi 37, 36100 Vicenza, Italy

3 Institute of Cell and Molecular Science, Centre for Infectious Disease, Barts and the London School of Medicine and Dentistry, London E1 2AT, UK

Correspondence
Paolo Benedetti
paolo.benedetti{at}ulssvicenza.it

Received June 2, 2009
Accepted August 24, 2009

A case is reported of cerebellar abscess and diffuse cerebritis due to Gemella morbillorum. The clinical course was ‘biphasic’, developing with an acute meningeal infection followed shortly afterwards by suppuration in the cerebellar and cerebral parenchyma; this pattern seemed to suggest a latent survival of the aetiological agent, probably within the central nervous system (CNS), despite systemic antibiotic therapy. Based upon a review of cases so far described, infections of the CNS caused by G. morbillorum appear to be an emerging reality.






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