Viola Shelton, Montoya Gregory, Arnold John
Division of Infectious Diseases, Naval Medical Center, San Diego, CA 92134, USA.
Int J Infect Dis. 2009 Jan;13(1):e15-7. doi: 10.1016/j.ijid.2008.02.014. Epub 2008 Jul 16.
A previously healthy 5-year-old boy presented with a non-specific febrile illness and seizures. Streptococcus pyogenes was identified in his blood culture. The spinal fluid revealed minimal pleocytosis and an axial computed tomography (CT) scan of the head was normal. Ongoing symptoms prompted a magnetic resonance imaging, which revealed a subdural empyema. Our patient diverges from the few previously reported S. pyogenes intracranial infections in that there was neither an adjacent infection nor a bacterial meningitis. In addition, we discuss the few studies addressing the sensitivity of CT for the diagnosis of bacterial intracranial infections.
一名此前健康的5岁男孩出现非特异性发热疾病并伴有癫痫发作。血液培养中发现了化脓性链球菌。脑脊液显示轻度细胞增多，头部轴向计算机断层扫描（CT）正常。持续的症状促使进行磁共振成像检查，结果显示有硬膜下积脓。我们的患者与之前报道的少数化脓性链球菌颅内感染病例不同，既没有邻近感染也没有细菌性脑膜炎。此外，我们还讨论了少数关于CT对细菌性颅内感染诊断敏感性的研究。
