Boyars Michael E, Boyars Michael C
Internal Medicine, University of Texas, Houston, USA.
Internal Medicine, University of Texas Medical Branch, Galveston, USA.
Cureus. 2020 Dec 8;12(12):e11970. doi: 10.7759/cureus.11970.
This case describes a 52-year-old female who developed encephalopathy after being hospitalized with sepsis from a recently placed Permcath. A grade two decubitus ulcer was also a potential source of infection. Cefepime and Vancomycin were empirically begun, and the patient improved hemodynamically and clinically. She developed encephalopathy on day six of hospitalization. When the Cefepime was discontinued the encephalopathy promptly resolved. The causes of hospital acquired encephalopathy and potential difficulties in making this diagnosis are discussed with special emphasis on Cefepime induced encephalopathy.
该病例描述了一名52岁女性，她在因最近置入的长期静脉导管发生败血症住院后出现脑病。二级褥疮也是潜在的感染源。经验性地开始使用头孢吡肟和万古霉素，患者的血流动力学和临床状况有所改善。她在住院第六天出现脑病。停用头孢吡肟后，脑病迅速缓解。本文讨论了医院获得性脑病的病因以及做出该诊断的潜在困难，特别强调了头孢吡肟诱发的脑病。
