头部外伤后出现的人型支原体脑脓肿：一例报告
Mycoplasma hominis brain abscess presenting after a head trauma: a case report.
作者信息
Henao-Martínez Andrés F, Young Heather, Nardi-Korver Johanna Jacoba Loes, Burman William
机构信息
Department of Medicine, Division of Infectious Diseases, 12700 E, 19th Avenue, Mail Stop B168, Aurora, CO 80045, USA.
出版信息
J Med Case Rep. 2012 Aug 22;6:253. doi: 10.1186/1752-1947-6-253.
INTRODUCTION
Mycoplasma hominis brain abscess is a rare occurrence, and treatment is not well defined. The mechanism by which M. hominis infects sites outside the genitourinary tract, including the central nervous system, is unclear.
CASE PRESENTATION
We report the case of a 40-year-old Somali man who sustained a traumatic brain injury that required initial neurosurgical hematoma evacuation and that subsequently was complicated by a hospital-acquired M. hominis brain abscess. Our patient was successfully treated with neurosurgical debridement and an antibiotic course of intravenous doxycycline.
CONCLUSIONS
Head trauma or neurosurgical procedures or both might be a predisposing factor for this type of infection.
引言
人型支原体脑脓肿较为罕见，其治疗方法尚不明确。人型支原体感染泌尿生殖道以外部位（包括中枢神经系统）的机制尚不清楚。
病例报告
我们报告一例40岁索马里男性病例，该患者因创伤性脑损伤接受了初期神经外科血肿清除术，随后并发医院获得性人型支原体脑脓肿。我们的患者通过神经外科清创术和静脉注射强力霉素的抗生素疗程成功治愈。
结论
头部创伤或神经外科手术或两者均可能是这类感染的诱发因素。
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