Flepp M, Herrmann P, Waespe W
Neurologische und Otorhinolaryngologische Klinik, Universitätsspital Zürich.
Schweiz Rundsch Med Prax. 1991 Mar 19;80(12):301-5.
A 17 year old man was hospitalized because of fever, headache and a paresis of his left leg. Radiologic findings demonstrated a subdural interhemispheric empyema on the right side as a complication of ipsilateral pansinusitis. Streptococcus milleri was cultured as the only pathogen from maxillary sinus suppuration. Pathogenesis and therapy of subdural empyema are discussed. Cure was achieved with ceftriaxone, flucloxacilline and ornidazole during one week followed by ceftriaxone as monotherapy during further five weeks. The importance of streptococcus milleri as causing agent of purulent lesions in internal organs is stressed.
一名17岁男性因发热、头痛和左腿轻瘫入院。影像学检查发现右侧硬膜下半球间积脓，为同侧全鼻窦炎的并发症。从上颌窦化脓物中培养出米勒链球菌，为唯一病原体。讨论了硬膜下积脓的发病机制和治疗方法。患者接受头孢曲松、氟氯西林和奥硝唑联合治疗一周，随后头孢曲松单药治疗五周，最终治愈。强调了米勒链球菌作为内脏化脓性病变病原体的重要性。
