一例罕见的气颅病例。
An unusual case of pneumocephalus.
作者信息
Bhogal P, Bhatnagar G, Manieson J, Booth T, Prendergast C
机构信息
Department of Radiology, Royal Free Hospital, London, UK.
出版信息
BMJ Case Rep. 2011 Nov 1;2011:bcr0620103106. doi: 10.1136/bcr.06.2010.3106.
Abstract
The authors present an unusual cause of pneumocephalus in a previously fit and well female octogenarian who presented with acute onset altered level of consciousness and generalised weakness. Radiological imaging demonstrated widespread cerebritis with pneumocephalus and gas within the superior sagittal sinus. Blood culture grew Clostridium septicum, a virulent but rare organism that can infect normal tissues. The close association between C septicum and both haematological and bowel malignancies must be considered if this organism is cultured.
摘要
作者报告了一例罕见的气颅病因，患者为一名此前健康的老年女性，80多岁，出现急性意识水平改变和全身无力。影像学检查显示广泛的大脑炎伴气颅以及上矢状窦内有气体。血培养结果为败血梭状芽孢杆菌生长，这是一种毒性强但罕见的可感染正常组织的微生物。如果培养出这种微生物，必须考虑败血梭状芽孢杆菌与血液系统恶性肿瘤和肠道恶性肿瘤之间的密切关联。
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