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男性，精神状态改变。

Male with Altered Mental Status.

作者信息

Kondrat Jason, Ilyaguyev Ben, Stern Jonathan, Choe Teresa, Greenstein Josh, Hahn Barry

机构信息

Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York.

Staten Island University Hospital, Department of Radiology, Staten Island, New York.

出版信息

Clin Pract Cases Emerg Med. 2021 Feb;5(1):131-133. doi: 10.5811/cpcem.2020.12.50960.

DOI:10.5811/cpcem.2020.12.50960
PMID:33560974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7872607/
Abstract

CASE PRESENTATION

A 62-year-old male presented to the emergency department with altered mental status and fever. Computed tomography of the head showed enlargement of the left lateral ventricle. Magnetic resonance imaging demonstrated debris and purulence in the ventricle along with edema and transependymal flow of cerebrospinal fluid surrounding both ventricles.

DISCUSSION

The patient was diagnosed with ventriculitis. Ventriculitis is an uncommon but serious disease. Early recognition and treatment are essential.

摘要

病例介绍

一名62岁男性因精神状态改变和发热就诊于急诊科。头部计算机断层扫描显示左侧脑室扩大。磁共振成像显示脑室内有碎片和脓液，同时脑室周围有水肿和脑脊液经室管膜流动。

讨论

该患者被诊断为脑室炎。脑室炎是一种罕见但严重的疾病。早期识别和治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bade/7872607/61dab87dcd75/cpcem-05-131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bade/7872607/2415fe0226f7/cpcem-05-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bade/7872607/61dab87dcd75/cpcem-05-131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bade/7872607/2415fe0226f7/cpcem-05-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bade/7872607/61dab87dcd75/cpcem-05-131-g002.jpg

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1
Male with Altered Mental Status.男性，精神状态改变。
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本文引用的文献

1
Primary bacterial ventriculitis in adults, an emergent diagnosis challenge: report of a meningoccal case and review of the literature.成人原发性细菌性脑室炎：一种紧急诊断挑战——脑膜炎球菌病例报告及文献复习
BMC Infect Dis. 2018 May 18;18(1):226. doi: 10.1186/s12879-018-3119-4.
2
2017 Infectious Diseases Society of America's Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis.2017年美国传染病学会医疗相关脑室炎和脑膜炎临床实践指南。
Clin Infect Dis. 2017 Mar 15;64(6):e34-e65. doi: 10.1093/cid/ciw861.