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金黄色葡萄球菌性心内膜炎的罕见表现——化脓性脑膜炎:一例报告及文献综述

Purulent Meningitis as an Unusual Presentation of Staphylococcus aureus Endocarditis: A Case Report and Literature Review.

作者信息

Ceccarelli Giancarlo, d'Ettorre Gabriella, Vullo Vincenzo

机构信息

Department of Public Health and Infectious Diseases, University of Rome "Sapienza", 00155 Rome, Italy.

出版信息

Case Rep Med. 2011;2011:735265. doi: 10.1155/2011/735265. Epub 2011 Mar 28.

Abstract

On presentation of Staphylococcus aureus endocarditis, unusual manifestations may represent the main clinical features of the disease. Isolated bacterial meningitis as the first manifestation of endocarditis is considered to be an unusual neurological complication. Here, we describe a case S. aureus endocarditis presenting as isolated meningitis and mimicking meningococcal septicaemia. Because of the high mortality rate of the disease, the prompt recognition of this infectious syndrome is of crucial importance for the correct management of patients.

摘要

金黄色葡萄球菌性心内膜炎发病时,不寻常的表现可能是该疾病的主要临床特征。孤立性细菌性脑膜炎作为心内膜炎的首发表现被认为是一种不寻常的神经并发症。在此,我们描述一例以孤立性脑膜炎形式出现并酷似脑膜炎球菌败血症的金黄色葡萄球菌性心内膜炎病例。鉴于该疾病的高死亡率,迅速识别这种感染综合征对于正确治疗患者至关重要。

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