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[经反复立体定向穿刺及抗生素治疗治愈的脑诺卡菌病]

[Cerebral nocardiosis cured by repeated stereotaxic punctures and antibiotic therapy].

作者信息

Baylot D, Berthier S, Lucht F, Gromollard P, Jacquemond G, Huppert J, Brunon J

机构信息

Service de Neurochirurgie, Centre Hospitalier Universitaire, Saint-Etienne.

出版信息

Presse Med. 1991 Apr 27;20(16):744-6.

PMID:1828592
Abstract

We report the case of a 58-year old man who had been on corticosteroid therapy for several months and presented with cerebral nocardiosis. Computerized tomography showed multiple brain abscesses. As the neurological status was getting worse, several stereotactic needle aspirations were performed, resulting in decompression of the brain and permitting bacteriological examination of the pus. Antibiotic therapy based on sensitivity tests was administered, and cure was obtained in the 4th month of treatment.

摘要

我们报告了一例58岁男性患者,该患者接受了数月的皮质类固醇治疗,随后出现脑诺卡菌病。计算机断层扫描显示有多个脑脓肿。由于神经状态恶化,进行了多次立体定向针吸术,从而实现了脑减压并允许对脓液进行细菌学检查。根据药敏试验给予抗生素治疗,在治疗的第4个月治愈。

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