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BMJ Case Rep. 2018 Apr 24;2018:bcr-2018-224286. doi: 10.1136/bcr-2018-224286.
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Pediatric intracranial abscesses.小儿颅内脓肿。
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Brain abscess: Current management.脑脓肿：当前的治疗方法。
J Neurosci Rural Pract. 2013 Aug;4(Suppl 1):S67-81. doi: 10.4103/0976-3147.116472.
3
Clinical and microbiologic features guiding treatment recommendations for brain abscesses in children.指导儿童脑脓肿治疗建议的临床和微生物特征。
Pediatr Infect Dis J. 2013 Feb;32(2):129-35. doi: 10.1097/INF.0b013e3182748d6e.
4
Multiple brain abscess from dental origin: case report and literature review.牙源性多发性脑脓肿：病例报告及文献综述
Oral Maxillofac Surg. 2012 Dec;16(4):393-7. doi: 10.1007/s10006-011-0308-3. Epub 2011 Dec 8.
5
Brain abscess: an overview.脑脓肿：概述。
Int J Surg. 2011;9(2):136-44. doi: 10.1016/j.ijsu.2010.11.005. Epub 2010 Nov 16.
6
Brain abscess in children.儿童脑脓肿
Neurosurg Focus. 2008;24(6):E6. doi: 10.3171/FOC/2008/24/6/E6.

一个充满占位性病变的大脑：找出病因。

A brain populated with space-occupying lesions: identifying the culprit.

作者信息

AlHarmi Rawan A, Henari Deyari Fryad, Jadah Raafat Hammad Seroor, AlKhayyat Haya Mohammed

机构信息

Medical intern, Bahrain Defence Force Royal Medical Services, Riffa, Bahrain.

Radiology, Bahrain Defence Force Royal Medical Services, Riffa, Bahrain.

出版信息

BMJ Case Rep. 2018 Apr 24;2018:bcr-2018-224286. doi: 10.1136/bcr-2018-224286.

DOI:10.1136/bcr-2018-224286
PMID:29691273
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5926558/
Abstract

This is a case of an 8-year-old girl who was previously healthy and presented with unresponsiveness on a background of fever that resolved within 2 days of onset. History was significant for recurrent dental abscesses requiring drainage. Imaging revealed what was unexpected: a brain overloaded with multiple space-occupying lesions and diffuse oedema. The patient was started on mannitol and dexamethasone in addition to antimicrobials. Her condition improved dramatically within few days. Multiple aspiration procedures were performed later and she recovered fully with minor deficits.

摘要

这是一名8岁女童的病例，她之前身体健康，在发热2天内出现无反应状态，发热随后消退。病史显示有反复发生的需要引流的牙脓肿。影像学检查发现了意想不到的情况：大脑中充满了多个占位性病变和弥漫性水肿。除了使用抗菌药物外，还开始给患者使用甘露醇和地塞米松。她的病情在几天内显著改善。后来进行了多次穿刺抽吸手术，她康复后仅留有轻微缺陷。