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[婴儿克氏柠檬酸杆菌脑脓肿:病例报告及文献综述]

[Citrobacter koseri brain abscess in an infant: case report and literature review].

作者信息

Azrak María A, D'Agustini Marcelo, Fernández Zulma, Peruffo María V, Malvaso Roque

机构信息

Servicio de Lactantes, Hospital de Niños Sor María Ludovica, La Plata.

出版信息

Arch Argent Pediatr. 2009 Dec;107(6):553-6. doi: 10.1590/S0325-00752009000600015.

Abstract

We present a 2 month-old female infant admitted to the hospital with macrocephaly as main clinical sign, irritability, and vomiting. The computer tomography scanning showed a cystic frontal image with contralateral ventricle displacement. Surgical intervention was performed. Purulent material culture was positive for Citrobacter koseri (diversus). Cerebrospinal fluid culture was negative. The infant was treated with antibiotics for 6 weeks with a good outcome. She presented postsurgical hydrocephaly and required ventriculoperitoneal valve.

摘要

我们报告一名2个月大的女婴,因大头畸形作为主要临床症状、易激惹和呕吐入院。计算机断层扫描显示额叶有囊性影像,对侧脑室移位。进行了手术干预。脓性物质培养结果显示克氏柠檬酸杆菌(以前称为异型柠檬酸杆菌)呈阳性。脑脊液培养结果为阴性。该婴儿接受了6周的抗生素治疗,效果良好。她术后出现脑积水,需要进行脑室腹腔分流术。

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