L'Kassmi H, Chegri M, Mounach J, Lahlou Amine I
Laboratoire de microbiologie, Hôpital Militaire Moulay Ismail, Meknès, Maroc.
Ann Biol Clin (Paris). 2008 Sep-Oct;66(5):566-8. doi: 10.1684/abc.2008.0273.
We report the first Moroccan case of community-acquired meningoencephalitis due to Klebsiella pneumoniae in an adult immunocompetent without medical history, complicated of cerebral vasculitis and right endophthalmitis. K. pneumoniae is exceptionally responsible for meningitis community in the world excepted in some countries of Southeast Asia. It usually occurs on fragile field and is associated with high mortality. The early management of the patient, the immunocompetent field and the wild phenotype of the isolated strain probably allowed to get a medical cure with some sequelae.
我们报告了摩洛哥首例由肺炎克雷伯菌引起的社区获得性脑膜脑炎病例，患者为一名无病史的免疫功能正常成年人，并发脑血管炎和右眼眼内炎。除东南亚一些国家外，肺炎克雷伯菌在世界范围内极少引发社区获得性脑膜炎。它通常发生在易感人群中，且死亡率很高。对该患者的早期治疗、免疫功能正常状态以及分离菌株的野生表型可能使得患者得以治愈，但仍留下了一些后遗症。
