Takeuchi Hayato, Fujita Yuri, Ogawa Hiroshi, Shiomi Kozue, Toyokawa Youichi, Yamamoto Toru, Furukawa Taizo, Ebisu Toshihiko
Department of Neurosurgery, Nantan General Hospital, Nantan, Kyoto, Japan.
Neurol Med Chir (Tokyo). 2009 Feb;49(2):85-9. doi: 10.2176/nmc.49.85.
A neonate presented with multiple brain abscesses caused by very unusual infection with the Gram-negative bacterium, Edwardsiella tarda. Serial changes in magnetic resonance imaging findings including diffusion-weighted imaging demonstrated the development from the late cerebritis to late capsule stages. The patient was successfully treated by external drainage, and has since reached normal development milestones. Early diagnosis with computed tomography, magnetic resonance imaging, and ultrasound tomography, and prompt external drainage were essential to the good outcome of this case.
一名新生儿因感染非常罕见的革兰氏阴性菌迟缓爱德华氏菌而出现多发性脑脓肿。磁共振成像检查结果的系列变化,包括弥散加权成像,显示了从晚期脑炎到晚期包膜期的发展过程。该患者通过外部引流成功治愈,此后达到了正常的发育里程碑。通过计算机断层扫描、磁共振成像和超声断层扫描进行早期诊断,并及时进行外部引流,对于该病例的良好预后至关重要。