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成人患者反常栓塞相关的埃布斯坦畸形并发梭杆菌脑脓肿:病例报告。

Fusobacterial brain abscess caused by paradoxical embolization associated with Ebstein's anomaly in an adult patient: A case report.

机构信息

Department of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Anaerobe. 2020 Feb;61:102084. doi: 10.1016/j.anaerobe.2019.102084. Epub 2019 Aug 6.

Abstract

Brain abscess remains a life-threatening condition. Here, we are reporting a case of brain abscess due to Fusobacterium nucleatum in a previously known case of Ebstein anomaly. A 44-year-old male presented with the complaints of headache, and fever. Cerebral imaging revealed parieto-occipital (PO) abscess. The abscess was drained and culture showed growth of Fusobacterium nucleatum. This report illustrates the importance of considering anaerobes as the cause of brain abscess, underscores the usefulness of MALDI, which facilitated the selection of appropriate and prompt adjuvant antibiotic therapy and a favourable outcome.

摘要

脑脓肿仍然是一种危及生命的疾病。在这里,我们报告了一例由核梭杆菌引起的脑脓肿病例,该患者先前患有埃布斯坦畸形。一名 44 岁男性因头痛和发热就诊。脑部影像学显示顶枕叶(PO)脓肿。脓肿被引流,培养显示生长有核梭杆菌。本报告说明了将厌氧菌视为脑脓肿病因的重要性,强调了 MALDI 的有用性,它有助于选择合适和及时的辅助抗生素治疗和良好的结果。

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