经蝶窦垂体切除术后并发矢状窦血栓形成的医院获得性脑膜炎和菌血症：一例报告。
Nosocomial meningitis and bacteremia in a post transsphenoidal hypophysectomy complicated with sagittal sinus thrombosis: A case report.
作者信息
Balakrishnan Naavin Kumar, Ghani Abdul Rahman Izaini, Hassan Mohamad Hasyizan, Mukmin Laila Ab, Hassan W Mohd Nazaruddin W
机构信息
Department of Neurosciences, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
出版信息
Surg Neurol Int. 2022 Aug 19;13:370. doi: 10.25259/SNI_526_2022. eCollection 2022.
BACKGROUND
meningitis is rare and challenging to manage infection. As this infection is always associated with superimposed multidrug-resistant organisms, a combination and prolonged antibiotic treatment are necessary to ensure the complete eradication of infections.
CASE DESCRIPTION
We report successful antibiotic therapies in a patient with bacteremia and meningitis complicated with superimposed extreme-drug-resistant infection in a patient post transsphenoidal hypophysectomy complicated with central venous thrombosis.
CONCLUSION
Antibiotic combination therapy with prolonged duration in those with with concomitant multi-resistant organisms is needed. Diagnosing associated prothrombotic risk with the infection and prompt treatment would also be essential.
背景
脑膜炎较为罕见，治疗感染具有挑战性。由于这种感染总是与多重耐药菌叠加相关，因此需要联合使用抗生素并延长治疗时间，以确保完全根除感染。
病例描述
我们报告了一例经蝶窦垂体切除术后并发中心静脉血栓形成的患者，该患者患有菌血症和脑膜炎，并叠加了极耐药感染，抗生素治疗取得成功。
结论
对于伴有多重耐药菌的患者，需要延长抗生素联合治疗时间。诊断感染相关的血栓形成风险并及时治疗也至关重要。
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