食管胸膜瘘伴微小消化链球菌感染导致颈部和脑脓肿。
Oesophageal pleural fistula presenting with Parvimonas micra infection causing cervical and brain abscesses.
作者信息
Shtaya Anan, Schuster Helmut, Riley Peter, Harris Kathryn, Hettige Samantha
机构信息
Academic Neurosurgery Unit, St George's University of London, London, UK.
Department of Microbiology, University Hospitals Southampton, Southampton, UK.
出版信息
Anaerobe. 2017 Oct;47:233-237. doi: 10.1016/j.anaerobe.2017.06.012. Epub 2017 Jun 23.
Parvimonas micra (P. micra) infections causing spinal cord compression are extremely rare. We report an occult oesophageal pleural fistula presenting with spinal epidural and brain abscesses resulting in severe neurological deficits caused by P. micra. Molecular detection proved to be instrumental in identifying the causative pathogen. Essential management with decompression, drainage, antibiotics and fistula repair lead to a good outcome.
微小单胞菌（P. micra）感染导致脊髓受压极为罕见。我们报告了一例隐匿性食管胸膜瘘，表现为脊髓硬膜外和脑脓肿，由微小单胞菌引起严重神经功能缺损。分子检测被证明有助于识别病原体。减压、引流、抗生素治疗和瘘管修复等基本治疗取得了良好效果。
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