脑脓肿伴化脓性脑室炎。
Brain abscess with pyogenic ventriculitis.
作者信息
Feinberg Nina, Campbell Brendan, Bazylewicz Michael, Brown William D, Singh Devika, Whitman Timothy, Alston W Kemper, Ulano Adam, Sawatzky Benjamin, Hale Andrew J
机构信息
College of Medicine at the University of Vermont, Burlington, VT, USA.
University of Vermont Medical Center, Burlington, VT, USA.
出版信息
IDCases. 2022 Apr 12;28:e01503. doi: 10.1016/j.idcr.2022.e01503. eCollection 2022.
The authors present the case of a 57-year-old male with a large polymicrobial brain abscess complicated by eruption into the intraventricular space. He was treated with parenteral ampicillin, cefepime, and metronidazole and adjuvant intraventricular vancomycin/gentamicin as well as surgical debridement. The authors discuss the diagnosis, treatment, and prognosis of brain abscesses, with a focus on prior cases with pyogenic ventriculitis and those treated with intraventricular antimicrobials.
作者报告了一例57岁男性患者，患有大型多微生物脑脓肿，并并发破入脑室腔。患者接受了静脉注射氨苄西林、头孢吡肟和甲硝唑治疗，以及辅助性脑室内注射万古霉素/庆大霉素，并进行了手术清创。作者讨论了脑脓肿的诊断、治疗和预后，重点关注既往有化脓性脑室炎的病例以及接受脑室内抗菌药物治疗的病例。
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