Kampfl A, Auckenthaler A, Berek K, Birbamer G, Haring H P, Luef G, Pfausler B, Schmutzhard E
Universitätsklinik für Neurologie, Intensiv- und Infektionsabteilung, Innsbruck.
Wien Klin Wochenschr. 1992;104(6):174-7.
We report a case of multiple cerebral and spinal abscesses due to Nocardia asteroides in a non-immunocompromised patient. The initial central nervous system manifestation was a sterile meningitis, with secondary development of multiple cerebral and spinal abscesses. Since the location of the abscesses did not allow neurosurgical exploration and the cultures remained negative, the diagnosis was finally established by raised antibody titres to Nocardia asteroides. After specific antibiotic therapy, resolution of the spinal and cerebral abscesses was documented on the basis of serial magnetic resonance tomography and computed tomography controls.
我们报告一例非免疫功能低下患者因星形诺卡菌感染导致多发脑脓肿和脊髓脓肿的病例。最初的中枢神经系统表现为无菌性脑膜炎,随后继发多发脑脓肿和脊髓脓肿。由于脓肿位置不适合进行神经外科探查且培养结果持续阴性,最终通过抗星形诺卡菌抗体滴度升高确诊。经过特异性抗生素治疗后,根据系列磁共振断层扫描和计算机断层扫描检查证实脊髓和脑脓肿已消退。