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布鲁氏菌属引起的颅内脓肿的成功医学治疗

Successful medical treatment of intracranial abscess caused by Brucella spp.

作者信息

Kizilkilic Osman, Turunc Tuba, Yildirim Tulin, Demiroglu Yusuf Ziya, Hurcan Cem, Uncu Hikmet

机构信息

Department of Radiology, Baskent University Adana Teaching and Medical Research Center, Adana, Turkey.

出版信息

J Infect. 2005 Jul;51(1):77-80. doi: 10.1016/j.jinf.2004.08.021.

Abstract

An unusual presentation of unilateral cerebellar abscesses due to neurobrucellosis observed in a patient is reported. He gave a history of fever, headache, vomiting and had unilateral cerebellar signs. The abscess was detected on magnetic resonance imaging (MRI) and analysis of cerebrospinal fluid revealed neurobrucellosis. Patient treated by only antibiotics therapy, evolving to complete clinical and radiological resolution, without neurosurgical intervention. We are presenting a case of cerebellar abscess due to neurobrucellosis diagnosed by MRI, treated medically, and had both radiologic and clinical follow-up. We also made a review of the literature concerning the cerebellar abscess due to neurobrucellosis.

摘要

报告了一名患者中观察到的因神经型布鲁氏菌病导致的单侧小脑脓肿的不寻常表现。他有发热、头痛、呕吐病史,并出现单侧小脑体征。磁共振成像(MRI)检测到脓肿,脑脊液分析显示为神经型布鲁氏菌病。患者仅接受抗生素治疗,病情逐渐发展至临床和影像学完全缓解,无需神经外科干预。我们展示了一例通过MRI诊断为神经型布鲁氏菌病导致的小脑脓肿病例,采用药物治疗,并进行了影像学和临床随访。我们还对有关神经型布鲁氏菌病导致的小脑脓肿的文献进行了综述。

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