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一例免疫功能正常患者中酷似脑肿瘤的非结核分枝杆菌脓肿罕见病例。

A Rare Case of Nontuberculous Mycobacterial Abscess Mimicking Brain Tumor in an Immunocompetent Patient.

作者信息

Jung Junho, Shin Ilyoung, Choi Younghee

机构信息

Department of Neurosurgery, Dongtan Sacred Heart Hospital, Hallym University, Hwaseong, Korea.

Department of Pathology, Dongtan Sacred Heart Hospital, Hallym University, Hwaseong, Korea.

出版信息

Brain Tumor Res Treat. 2023 Jul;11(3):219-222. doi: 10.14791/btrt.2023.0019.

DOI:10.14791/btrt.2023.0019
PMID:37550823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10409619/
Abstract

Nontuberculous mycobacteria (NTM) is a type of bacteria that typically infects the pulmonary system, and NTM-central nervous system (CNS) infection, which occurs in the brain, is a very rare disease. A 64-year-old female patient presented with seizures as the main symptom and was found to have a mass of less than 1 cm in the right temporal lobe with accompanying edema. Although diseases such as tumor metastasis and parasitic cyst were suspected, the patient underwent a surgical resection, and NTM-CNS infection with abscess was diagnosed through biopsy. Antibiotic treatment was initiated after surgery, and the patient has been followed up without any significant symptoms. In this report, we review a rare case of NTM-CNS infection and discuss the understanding and treatment of this disease.

摘要

非结核分枝杆菌(NTM)是一种通常感染肺部系统的细菌,而发生在脑部的NTM中枢神经系统(CNS)感染是一种非常罕见的疾病。一名64岁女性患者以癫痫发作作为主要症状,被发现右侧颞叶有一个直径小于1厘米的肿块并伴有水肿。尽管怀疑有肿瘤转移和寄生虫囊肿等疾病,但该患者接受了手术切除,并通过活检诊断为NTM-CNS感染伴脓肿。术后开始抗生素治疗,对该患者进行了随访,未出现任何明显症状。在本报告中,我们回顾了一例罕见的NTM-CNS感染病例,并讨论了对该疾病的认识和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/02ef05fb4a38/btrt-11-219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/ef61bbb2ed95/btrt-11-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/ca2650db7c9e/btrt-11-219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/d74c328fe671/btrt-11-219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/02ef05fb4a38/btrt-11-219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/ef61bbb2ed95/btrt-11-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/ca2650db7c9e/btrt-11-219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/d74c328fe671/btrt-11-219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040c/10409619/02ef05fb4a38/btrt-11-219-g004.jpg

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氧化应激在结核性脑膜炎中的作用及治疗选择
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