Drazin Doniel, Lehman Deborah, Danielpour Moise
Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Pediatr Neurosurg. 2010;46(6):466-71. doi: 10.1159/000325073. Epub 2011 May 10.
Bacillus cereus meningitis is a rare disease with a very high mortality rate in neonates. The authors present the rare case of a premature infant with B. cereus bacteremia and subsequent intracranial abscesses. In addition to aggressive medical therapy, surgical drainage was performed via a left frontal mini-craniotomy. At 15 months of age, the patient had mild developmental delay, cortical blindness, and sensorineural hearing loss. The clinical case is described and difficulties in the management of B. cereus meningoencephalitis in infants are discussed.
蜡样芽孢杆菌脑膜炎是一种罕见疾病，在新生儿中死亡率极高。作者报告了一例罕见的早产儿蜡样芽孢杆菌菌血症及随后发生颅内脓肿的病例。除积极的药物治疗外，还通过左侧额部微创开颅术进行了手术引流。患儿15个月大时，出现轻度发育迟缓、皮质盲和感音神经性听力损失。本文描述了该临床病例，并讨论了婴儿蜡样芽孢杆菌脑膜脑炎治疗中的难点。
