Diaz Melina, Cuellar Jose, Valencia-Rey Paula A, Fisher John F
Section of Infectious Diseases, Medical College of Georgia, Augusta, GA 30912-3130, USA.
South Med J. 2010 Aug;103(8):842-4. doi: 10.1097/SMJ.0b013e3181e6d16e.
The unusual and unprecedented occurrence of a patient with hereditary hemorrhagic telangiectasia (HHT) and a polymicrobial abscess with three different organisms, including fungi, is reported. The patient was a 48-year-old woman with human immunodeficiency virus (HIV) infection and HHT who was brought to the hospital after a motor vehicle accident with altered mental status. Computed tomography did not reveal evidence of acute brain injury but showed a left frontal brain abscess. The patient underwent neurosurgical drainage of the abscess. On culture the abscess yielded methicillin-resistant Staphylococcus aureus, Streptococcus intermedius, and Candida guilliermondii.
据报道，一名患有遗传性出血性毛细血管扩张症（HHT）的患者出现了罕见且前所未有的情况，即患有由三种不同生物体（包括真菌）引起的多种微生物脓肿。该患者是一名48岁感染人类免疫缺陷病毒（HIV）且患有HHT的女性，在一次机动车事故后因精神状态改变被送往医院。计算机断层扫描未发现急性脑损伤的证据，但显示左额叶脑脓肿。患者接受了脓肿的神经外科引流。脓肿培养结果显示为耐甲氧西林金黄色葡萄球菌、中间链球菌和季也蒙念珠菌。
