椎管内药物输注系统植入的癌症患者合并急性脑脓肿的处理
Management of a Cancer Patient with an Intrathecal Drug Delivery System and an Acute Brain Abscess.
机构信息
Department of Anesthesiology, Feinberg School of Medicine, Northwestern University , Chicago, Illinois.
出版信息
J Palliat Med. 2018 May;21(5):727-729. doi: 10.1089/jpm.2017.0628. Epub 2018 Mar 13.
Surgical-site infection, spinal cord abscess, and catheter tip granuloma are known but rare complications of intrathecal drug delivery systems (IDDS). To date, there are no published cases of brain abscess in a patient with an IDDS. In this study, we report a case of a cancer patient with an IDDS for management of cancer pain who developed a brain abscess with profound mental status changes and clinical management challenges.
手术部位感染、脊髓脓肿和导管尖端肉芽肿是已知的鞘内药物递送系统（IDDS）的罕见但严重的并发症。迄今为止，还没有 IDDS 患者发生脑脓肿的病例报告。在本研究中，我们报告了一例癌症患者使用 IDDS 治疗癌症疼痛后发生脑脓肿的病例，该患者出现了严重的精神状态改变和临床管理挑战。
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