Yamaguchi Y, Miyake H, Nakahara N, Masuzawa T
Department of Surgical Neurology, Jichi Medical School, Tochigi, Japan.
No Shinkei Geka. 1989 Mar;17(3):285-9.
A 25-year-old man, who was slightly immunosuppressed, presented headache and right motor weakness due to multiple brain abscesses disseminated from lung abscess. They were diagnosed, by bacteriological examination, as nocardial brain abscesses (nocardia asteroides) 4 weeks after the first operation. In spite of delay in the diagnosis, he was relieved by operations (three times) and chemotherapy including high doses of Sulfamethoxazole-Trimethoprim. He was eventually discharged. We stress the necessity of early diagnosis and the efficacy of Sulfamethoxazole-Trimethoprim for nocardial brain abscess.
一名25岁男性，免疫功能略有抑制，因肺脓肿播散导致多发性脑脓肿，出现头痛和右侧运动无力症状。首次手术后4周，经细菌学检查诊断为诺卡菌性脑脓肿（星形诺卡菌）。尽管诊断有所延迟，但通过手术（三次）和包括大剂量复方磺胺甲恶唑在内的化疗，他的病情得到缓解。他最终出院。我们强调早期诊断的必要性以及复方磺胺甲恶唑对诺卡菌性脑脓肿的疗效。
