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中国一例中间普氏菌和星座链球菌颅内混合感染。

A chinese case of prevotella intermedia and streptococcus constellatus intracranial mixed infection.

机构信息

Medical Science Laboratory, the Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou, Guangxi, China.

Department of Neurosurgery, the Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou, Guangxi, China.

出版信息

Metab Brain Dis. 2018 Feb;33(1):161-166. doi: 10.1007/s11011-017-0142-x. Epub 2017 Nov 2.

Abstract

Streptococcal Species is increasingly recognized as a potentially preventable emerging infection in human's brain with high prevalence around the world. Streptococcus constellatus is one of the most common pathogens. Meanwhile, anaerobic bacteria are the rare causes for intracranial infection. To date, intracranial mixed infection caused by Prevotella intermedia and Streptococcus constellatus has not been reported. We reported a Chinese case to raise the global awareness of severity of the intracranial mixed infection. Here, we illustrated the epidemiological risk factors, clinical manifestations and outcomes of the patient. For patients who suffer from exacerbated brain infection with fetid cerebrospinal fluid, early repeated imaging is urgently needed and empiric antibiotic therapy should consider anaerobic and aerobic bacteria in these situations.

摘要

链球菌属越来越被认为是一种可能预防的人类脑部新兴感染,在全球范围内有很高的发病率。星座链球菌是最常见的病原体之一。同时,厌氧菌是颅内感染的罕见原因。迄今为止,中间普氏菌和星座链球菌引起的颅内混合感染尚未见报道。我们报道了一例中国病例,以提高全球对颅内混合感染严重性的认识。在这里,我们描述了患者的流行病学危险因素、临床表现和结局。对于患有恶臭脑脊液的脑部感染加重的患者,急需进行早期重复影像学检查,在这种情况下,经验性抗生素治疗应考虑需氧菌和厌氧菌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5909/5769824/77d4175fb7a3/11011_2017_142_Fig1_HTML.jpg

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