Yamashita Satoshi, Yonemura Kiminobu, Sugimoto Ryoko, Tokunaga Makoto, Uchino Makoto
Department of Neurology, Kumamoto Medical Center, National Hospital Organization, 1-5 Ninomaru, Kumamoto 860-0008, Japan.
J Neurol Sci. 2005 Nov 15;238(1-2):97-100. doi: 10.1016/j.jns.2005.06.009. Epub 2005 Jul 28.
We report a patient with multiple brain abscesses due to Staphylococcus cohnii. While these brain abscesses markedly responded to the antibiotics, this patient was subsequently suffered from subcutaneous inflammatory nodules in the adipose tissue, which diagnosed him as having Weber-Christian disease (WCD). This is the first report that subcutaneous inflammatory nodules in the adipose tissue, which lead the diagnosis of WCD, followed multiple brain abscesses. To our knowledge, S. cohnii has not yet been reported to cause multiple brain abscesses in humans. Although the etiology of WCD is unknown, an immune mechanism has been implicated in the pathogenesis. Therefore, we should notice that patients with WCD could be immunocompromised hosts with a higher risk to suffer from severe opportunistic infections.
我们报告了一名因科氏葡萄球菌感染而患有多发性脑脓肿的患者。虽然这些脑脓肿对抗生素有明显反应,但该患者随后在脂肪组织中出现皮下炎性结节,经诊断患有韦伯-克里斯蒂安病(WCD)。这是首例报告显示在多发性脑脓肿后出现导致WCD诊断的脂肪组织皮下炎性结节。据我们所知,尚未有科氏葡萄球菌导致人类多发性脑脓肿的报道。虽然WCD的病因尚不清楚,但免疫机制已被认为与发病机制有关。因此,我们应该注意到,WCD患者可能是免疫功能低下的宿主,遭受严重机会性感染的风险更高。