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中间型链球菌所致多灶性脑脓肿

Multifocal Brain Abscesses Due to Streptococcus intermedius.

作者信息

Isern Raul D, Toth Stephen, Goldfarb Mikhail, Ahmad Faran

机构信息

Division of Infectious Diseases, Creighton University School of Medicine, Omaha, USA.

Division of Internal Medicine, Creighton University School of Medicine, Omaha, USA.

出版信息

Cureus. 2022 Dec 21;14(12):e32797. doi: 10.7759/cureus.32797. eCollection 2022 Dec.

DOI:10.7759/cureus.32797
PMID:36694540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9858951/
Abstract

Brain abscess is a life-threatening illness that occurs when an intracerebral infection leads to cerebritis and subsequent pus formation within a well-vascularized capsule. While streptococci (aerobic, anaerobic, and microaerophilic) are the most common bacteria isolated, its presentation as multifocal brain abscesses is rarely described. In this report, we describe a 43-year-old male patient who presented to the emergency department due to progressive lethargy and low-grade fever of seven days worsening. Upon further evaluation, the patient was found to have multiple brain abscesses secondary to confirmed by the culture of stereotactic aspiration of brain collection. This case underlines the importance of considering as a cause of multifocal brain abscesses.

摘要

脑脓肿是一种危及生命的疾病,当脑内感染导致脑炎并随后在血管丰富的包膜内形成脓液时就会发生。虽然链球菌(需氧菌、厌氧菌和微需氧菌)是最常分离出的细菌,但其表现为多灶性脑脓肿的情况很少被描述。在本报告中,我们描述了一名43岁男性患者,他因进行性嗜睡和持续7天加重的低热而到急诊科就诊。经过进一步评估,通过对脑采集物进行立体定向抽吸培养确诊,该患者继发于[此处原文缺失相关内容]的多个脑脓肿。本病例强调了将[此处原文缺失相关内容]视为多灶性脑脓肿病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166b/9858951/0afd5bd535ff/cureus-0014-00000032797-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166b/9858951/f479543e7da9/cureus-0014-00000032797-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166b/9858951/0afd5bd535ff/cureus-0014-00000032797-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166b/9858951/f479543e7da9/cureus-0014-00000032797-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166b/9858951/0afd5bd535ff/cureus-0014-00000032797-i02.jpg

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本文引用的文献

1
[Brain Abscess].[脑脓肿]
No Shinkei Geka. 2022 Sep;50(5):933-941. doi: 10.11477/mf.1436204652.
2
Multifocal brain abscesses caused by invasive : A case report.侵袭性多灶性脑脓肿:一例报告。
Front Neurol. 2022 Aug 12;13:893627. doi: 10.3389/fneur.2022.893627. eCollection 2022.
3
Clinical Characteristics of Infections Caused by Streptococcus Anginosus Group.咽峡炎链球菌群感染的临床特征。
Cureus. 2023 Dec 18;15(12):e50708. doi: 10.7759/cureus.50708. eCollection 2023 Dec.
Sci Rep. 2020 Jun 3;10(1):9032. doi: 10.1038/s41598-020-65977-z.
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Brain abscess: an overview.脑脓肿:概述。
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