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一名免疫功能正常的成年患者因肠炎沙门氏菌引起脑脓肿:头孢噻肟和环丙沙星治疗成功。

Brain abscess caused by Salmonella enteritidis in an immunocompetent adult patient: successful treatment with cefotaxime and ciprofloxacin.

作者信息

Bonvin P, Ejlertsen T, Dons-Jensen H

机构信息

Department of Medicine, Hjørring/Brønderslev Hospital, Hjørring, Denmark.

出版信息

Scand J Infect Dis. 1998;30(6):632-4. doi: 10.1080/00365549850161313.

Abstract

A previously healthy 43-y-old man, who had spent 2 weeks in northern India, was admitted to hospital after a 2-day history of pyrexia, confusion and frontal headache. Cranial computerized tomography (CT) showed an abscess in the right parietal lobe. Spinal fluid and blood cultures gave growth of Salmonella enteritidis within 24 h. Treatment with cefotaxime was initiated, but ceased after 3 weeks due to drug fever, and ciprofloxacin was then given orally for 4 months. After 6 months, the patient was considered cured. Cases of salmonella brain abscesses are reviewed.

摘要

一名此前健康的43岁男性,曾在印度北部待了2周,在出现发热、意识模糊和额头痛2天后入院。头颅计算机断层扫描(CT)显示右顶叶有一个脓肿。脑脊液和血培养在24小时内培养出肠炎沙门氏菌。开始用头孢噻肟治疗,但3周后因药物热停药,随后口服环丙沙星4个月。6个月后,患者被认为已治愈。本文对沙门氏菌脑脓肿病例进行了综述。

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