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用磷霉素和6-甲基泼尼松龙治疗神经外科感染。

Neurosurgical infection treated with fosfomycin and 6-methylprednisolone.

作者信息

Gimeno L

出版信息

Chemotherapy. 1977;23 Suppl 1:399-402. doi: 10.1159/000222081.

Abstract

A left parietal parasagittal meningioma was removed in a 67-year-old female patient. In the postoperative period she had a neurosurgical cerebral suppurating infection: subdural, epidural and epicranial, connected to the exterior by several fistulas. In the operative revision and after a culture, the germ causing the infection, E. coli, was isolated. Treatment was begun with 16 g of intravenous fosfomycin and 120 mg daily of 6-methylprednisolone intramuscularly, and this treatment cured the patient.

摘要

一名67岁女性患者接受了左侧顶叶矢状窦旁脑膜瘤切除术。术后她发生了神经外科脑部化脓性感染:硬膜下、硬膜外和头皮感染,通过几个瘘管与外界相通。在手术翻修和培养后,分离出引起感染的病菌——大肠杆菌。开始使用16克静脉注射磷霉素和每日120毫克肌肉注射6-甲基泼尼松龙进行治疗,该治疗治愈了患者。

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