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中枢神经系统类鼻疽:诊断难题。

CNS Melioidosis: A Diagnostic Challenge.

机构信息

Department- Critical Care and Neurology, Institute of Neurosciences Kolkata, Kolkata, West Bengal, India.

Department of Neurology, Institute of Neurosciences Kolkata, 185/1 A.J.C. Bose Road, Kolkata, West Bengal, India.

出版信息

Neurol India. 2022 Mar-Apr;70(2):778-780. doi: 10.4103/0028-3886.344620.

DOI:10.4103/0028-3886.344620
PMID:35532659
Abstract

Melioidosis is an emerging tropical disease. Central nervous system (CNS) melioidosis may present as a brain abscess or encephalomyelitis mimics tuberculosis. Early diagnosis and management decreases mortality as well as morbidity. This case of brain abscess and encephalomyelitis in a young man with no known comorbidities was a diagnostic challenge. The surgery helped in debulking as well as isolating the causative organism. Appropriate antibiotic therapy for melioidosis was lifesaving and prevented further complications.

摘要

类鼻疽是一种新兴的热带病。中枢神经系统(CNS)类鼻疽可能表现为脑脓肿或脑炎,类似于结核病。早期诊断和治疗可降低死亡率和发病率。本例为一名无已知合并症的年轻男性的脑脓肿和脑炎,诊断具有挑战性。手术有助于清除和隔离病原体。适当的类鼻疽抗生素治疗是救命的,并防止了进一步的并发症。

相似文献

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CNS Melioidosis: A Diagnostic Challenge.中枢神经系统类鼻疽:诊断难题。
Neurol India. 2022 Mar-Apr;70(2):778-780. doi: 10.4103/0028-3886.344620.
2
Brain abscess as the presenting feature of melioidosis.脑脓肿作为类鼻疽的首发症状。
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Brainstem micro-abscesses caused by Burkholderia pseudomallei in a 10-month-old infant: a case report.一名10个月大婴儿由伯克霍尔德菌引起的脑干微脓肿:病例报告
Paediatr Int Child Health. 2017 Aug;37(3):230-232. doi: 10.1080/20469047.2016.1198560. Epub 2016 Jul 4.
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Neurologic melioidosis presented as encephalomyelitis and subdural collection in two male labourers in India.在印度,两名男性劳工的神经系统类鼻疽表现为脑脊髓炎和硬膜下积液。
J Infect Dev Ctries. 2015 Nov 30;9(11):1289-93. doi: 10.3855/jidc.6586.
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A case report of Tubo-ovarian abscess caused by Burkholderia pseudomallei.由伯克霍尔德菌引起的输卵管卵巢脓肿病例报告。
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Multi-systemic melioidosis: a clinical, neurological, and radiological case study from Hainan Province, China.全身性类鼻疽病:来自中国海南省的临床、神经学和影像学病例研究。
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Burkholderia Pseudomallei As The Predominant Cause Of Splenic Abscess In Kapit, Sarawak, Malaysian Borneo.伯氏考克斯体是沙捞越卡皮特(Kapit)脾脓肿的主要病因。
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[Melioidosis is a rare diagnosis among returning travellers with fever].类鼻疽在发热的归国旅行者中是一种罕见的诊断。
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A case report: Splenic abscess caused by Burkholderia pseudomallei.病例报告:由类鼻疽伯克霍尔德菌引起的脾脓肿。
Medicine (Baltimore). 2018 Jun;97(26):e11208. doi: 10.1097/MD.0000000000011208.

引用本文的文献

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Unearthing the burden of melioidosis in North India - an emerging threat in a non-endemic region.挖掘印度北部类鼻疽病的负担——非流行地区的新威胁。
Curr Res Microb Sci. 2025 Jan 17;8:100344. doi: 10.1016/j.crmicr.2025.100344. eCollection 2025.
2
Massive calvarial melioidosis abscess following minor trauma in rural areas of Thailand.泰国农村地区轻微创伤后发生的巨大颅骨类鼻疽脓肿。
Surg Neurol Int. 2024 Sep 13;15:332. doi: 10.25259/SNI_494_2024. eCollection 2024.