Chowdhary U M, Twum-Danso K
Department of Neurosurgery, College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.
Surg Neurol. 1991 Jun;35(6):468-70. doi: 10.1016/0090-3019(91)90181-8.
Brucella meningoencephalitis is rare in young children. We describe a patient who developed Brucella meningoencephalitis at the age of 20 months while he had a ventriculoperitoneal shunt in situ for treatment of hydrocephalus. This patient was treated with streptomycin and rifampicin. The shunt was left in situ, and all the clinical and laboratory test abnormalities subsided with this management. We propose that in a patient with Brucella meningoencephalitis, the cerebrospinal fluid shunt system can be left in situ and treatment with appropriate combination of antibiotics should prove to be successful.
布鲁氏菌性脑膜脑炎在幼儿中较为罕见。我们描述了一名20个月大的患者，他因脑积水接受脑室腹腔分流术，在此期间发生了布鲁氏菌性脑膜脑炎。该患者接受了链霉素和利福平治疗。分流管保留原位，通过这种治疗方式，所有临床和实验室检查异常均消退。我们建议，对于患有布鲁氏菌性脑膜脑炎的患者，脑脊液分流系统可保留原位，使用适当的抗生素联合治疗应会取得成功。
