食管静脉曲张出血内镜套扎术后致血链球菌性脑膜炎。
Streptococcus sanguinis meningitis following endoscopic ligation for oesophageal variceal haemorrhage.
机构信息
Department of Laboratory Medicine, Da Chien General Hospital, Miaoli, Taiwan.
Department of Laboratory Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan.
出版信息
J Med Microbiol. 2013 May;62(Pt 5):794-796. doi: 10.1099/jmm.0.054213-0. Epub 2013 Feb 21.
We report a case of acute purulent meningitis caused by Streptococcus sanguinis after endoscopic ligation for oesophageal variceal haemorrhage in a cirrhotic patient without preceding symptoms of meningitis. Initial treatment with flomoxef failed. The patient was cured after 20 days of intravenous penicillin G. This uncommon infection due to S. sanguinis adds to the long list of infectious complications among patients with oesophageal variceal haemorrhage.
我们报告了一例肝硬化患者内镜套扎治疗食管静脉曲张出血后，发生无前期脑膜炎症状的血链球菌急性化脓性脑膜炎。初始使用氟莫头孢治疗失败。患者经 20 天静脉注射青霉素 G 后痊愈。这种由 S. sanguinis 引起的罕见感染增加了食管静脉曲张出血患者众多感染并发症的名单。
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