Desai Bobby K, Walls Thomas
University of Florida, Department of Emergency Medicine, PO BOX 100186, Gainesville, FL, 32610, USA.
Int J Emerg Med. 2011 Jun 21;4(1):33. doi: 10.1186/1865-1380-4-33.
Brain abscess is not a common diagnosis as there are only approximately 2000 cases reported each year in the United States. There are three main routes of access to the brain including contiguous infection from the oropharynx, direct implantation and hematogenously. We present a case of brain abscess in a child who had multiple visits for ear pain to various physicians including pediatricians and to emergency departments. Additionally, the microbiology of brain abscesses is briefly discussed, as is treatment.
脑脓肿并非常见诊断,因为在美国每年仅报告约2000例病例。有三种主要途径可进入脑部,包括来自口咽的邻近感染、直接植入和血行感染。我们报告一例儿童脑脓肿病例,该患儿因耳部疼痛多次就诊于包括儿科医生在内的各科医生及急诊科。此外,还简要讨论了脑脓肿的微生物学及治疗方法。