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一名HIV阳性成年患者的沙门氏菌脑膜炎并发脑室炎和脑脓肿

Salmonella Meningitis Complicated by Ventriculitis and Brain Abscesses in an HIV Positive Adult Patient.

作者信息

Ahmed Tamoor, Ahmed Taha

机构信息

Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK.

Internal Medicine, University of Kentucky College of Medicine, Lexington, USA.

出版信息

Cureus. 2020 Oct 28;12(10):e11223. doi: 10.7759/cureus.11223.

Abstract

Salmonella meningitis is a rare complication of Salmonella sepsis and is mostly reported in infants and young children. The incidence of Salmonella bacteremia is increased in immunocompromised adult individuals, such as those having human immunodeficiency virus (HIV) infection. Ventriculitis and brain abscess as a complication of Salmonella intracranial infection is particularly rare, even in patients who are immunosuppressed. Herein, we report a case of Salmonella meningitis complicated by ventriculitis and two brain abscesses in an HIV positive adult patient requiring mini-craniectomy and drainage along with a prolonged course of antibiotic therapy with a favorable outcome.

摘要

沙门氏菌脑膜炎是沙门氏菌败血症的一种罕见并发症,主要见于婴幼儿。免疫功能低下的成年人,如感染人类免疫缺陷病毒(HIV)者,沙门氏菌血症的发病率会升高。即使在免疫抑制患者中,沙门氏菌颅内感染并发脑室炎和脑脓肿也极为罕见。在此,我们报告一例HIV阳性成年患者,其患沙门氏菌脑膜炎并伴有脑室炎和两个脑脓肿,需要进行微创颅骨切除术和引流,并接受长期抗生素治疗,最终预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df19/7704162/e30c6577f810/cureus-0012-00000011223-i01.jpg

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