Taneda Kenta, Adachi Tadashi, Watanabe Yasuhiro, Hanajima Ritsuko
Division of Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University, Japan.
Department of Neurology, Japanese Red Cross Matsue Hospital, Japan.
Intern Med. 2019 Jul 1;58(13):1943-1946. doi: 10.2169/internalmedicine.2266-18. Epub 2019 Feb 25.
A 19-year-old previously healthy man presented with convulsions, fever, headache, diarrhea, and vomiting. Brain magnetic resonance imaging revealed cerebral hemorrhaging in the right parietal lobe and thrombotic occlusion of the right great cerebral vein. Blood cultures were positive for nontyphoidal Salmonella. The patient was successfully treated with antibiotics and anticoagulants. Nontyphoidal Salmonella bacteremia can cause cerebral venous thrombosis and physicians therefore need to consider nontyphoidal Salmonella bacteremia as a potential cause of cerebral venous thrombosis.
一名19岁既往健康的男性出现惊厥、发热、头痛、腹泻和呕吐症状。脑部磁共振成像显示右侧顶叶脑出血及右侧大脑大静脉血栓形成。血培养结果显示非伤寒沙门菌阳性。该患者通过抗生素和抗凝剂治疗成功康复。非伤寒沙门菌血症可导致脑静脉血栓形成,因此医生需要将非伤寒沙门菌血症视为脑静脉血栓形成的潜在病因。