侵袭性肺炎球菌病并发脑血管炎、暂时性尿崩症和脊椎椎间盘炎。
Invasive pneumococcal disease complicated by cerebral vasculitis, transient diabetes insipidus and spondylodiscitis.
作者信息
Ribeiro Sofia, Domingues Vital, Faria Raquel M, Mendonça Teresa
机构信息
Department of Medicine, Hospital Santo António, Porto, Portugal.
出版信息
BMJ Case Rep. 2013 Aug 19;2013:bcr2013010336. doi: 10.1136/bcr-2013-010336.
Abstract
Invasive pneumococcal disease (IPD) is a potential life-threatening situation that requires immediate recognition and treatment. Cerebrovascular complications are uncommon and have been reported less frequently in adults than in children. We report a case of 59-year-old man with IPD complicated by cerebral vasculitis, transient central diabetes insipidus and spondylodiscitis. Each of these complications is rare and needs specific approach. Their association is even rarer and to the best of our knowledge this is the first case reported.
摘要
侵袭性肺炎球菌疾病（IPD）是一种可能危及生命的情况，需要立即识别和治疗。脑血管并发症并不常见，在成人中报告的频率低于儿童。我们报告一例59岁男性患有IPD并伴有脑血管炎、短暂性中枢性尿崩症和脊椎椎间盘炎。这些并发症中的每一种都很罕见，需要采取特定的治疗方法。它们同时出现更为罕见，据我们所知，这是首例报告病例。
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本文引用的文献
1
Invasive pneumococcal disease.
Arch Dis Child Educ Pract Ed. 2011 Oct;96(5):183-90. doi: 10.1136/adc.2010.191718. Epub 2011 May 9.
2
Pneumococcal serotypes and mortality following invasive pneumococcal disease: a population-based cohort study.
PLoS Med. 2009 May 26;6(5):e1000081. doi: 10.1371/journal.pmed.1000081.
3
Spontaneous spondylodiscitis: presentation, risk factors, diagnosis, management, and outcome.
Int J Infect Dis. 2009 Sep;13(5):564-9. doi: 10.1016/j.ijid.2008.08.025. Epub 2008 Dec 13.
4
[Infectious spondylodiscitis].
Rev Prat. 2007 May 15;57(9):970-8.
5
[Pneumococcal spondylodiscitis and pleural effusion. Report of a case and literature review].
An Med Interna. 2007 Jan;24(1):27-30. doi: 10.4321/s0212-71992007000100007.
6
[Implication of dexamethasone adjunctive therapy after the onset of cerebral vasculitis in Streptococcus pneumoniae meningitis].
Med Mal Infect. 2007 Feb;37(2):118-20. doi: 10.1016/j.medmal.2006.12.003. Epub 2007 Jan 30.
7
Persisting vasculitis after pneumococcal meningitis.
Neurocrit Care. 2006;4(3):237-40. doi: 10.1385/NCC:4:3:237.
8
Community-acquired bacterial meningitis in adults.
N Engl J Med. 2006 Jan 5;354(1):44-53. doi: 10.1056/NEJMra052116.
9
Practice guidelines for the management of bacterial meningitis.
Clin Infect Dis. 2004 Nov 1;39(9):1267-84. doi: 10.1086/425368. Epub 2004 Oct 6.
10
Steroids in adults with acute bacterial meningitis: a systematic review.
Lancet Infect Dis. 2004 Mar;4(3):139-43. doi: 10.1016/S1473-3099(04)00937-5.
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