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头部外伤后中枢神经系统脓肿和菌血症:一例病例报告及文献综述

CNS abscess and bacteremia following head trauma: a case report and literature review.

作者信息

Cortés-Penfield Nicolás, Kohli Anjali, Weatherhead Jill, El Sahly Hana

机构信息

Section of Infectious Diseases, Department of Medicine, Baylor College of Medicine, 1 Baylor Plaza, BCM286, Houston, TX, 77030, USA.

Section of General Internal Medicine, Department of Medicine, Baylor College of Medicine, 1 Baylor Plaza, BCM621, Houston, TX, 77030, USA.

出版信息

Infect Dis Clin Pract (Baltim Md). 2017 May;25(3):e9-e11. doi: 10.1097/IPC.0000000000000477.

DOI:10.1097/IPC.0000000000000477
PMID:30906173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6430583/
Abstract

is an uncommon cause of pharyngitis with rash that occurs predominantly among adolescents and that has been only rarely implicated in severe or systemic infections. We report a case of subdural empyema and bacteremia due to in an adolescent woman following physical assault with trauma to the head, which required neurosurgical intervention combined with prolonged antibiotic therapy. We additionally describe the previous occurrences of culture positivity recorded over a fifteen-year period by the microbiology laboratories of the two large academic medical centers at which this patient received care, and review the epidemiology, laboratory identification, and treatment of this unusual pathogen.

摘要

是一种伴有皮疹的咽炎的罕见病因,主要发生在青少年中,很少与严重或全身感染有关。我们报告一例青少年女性在头部遭受外伤的身体攻击后,因[具体病原体未给出]导致的硬膜下积脓和菌血症,这需要神经外科干预并联合长期抗生素治疗。我们还描述了该患者接受治疗的两家大型学术医疗中心的微生物实验室在十五年期间记录的[具体病原体未给出]培养阳性的既往病例,并回顾了这种不寻常病原体的流行病学、实验室鉴定和治疗方法。

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