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在一名健康的年轻人中:伴有眼眶和颅内累及的快速进展性鼻窦炎。

in a Healthy, Young Person: Rapidly Progressive Sinusitis with Orbital and Intracranial Involvement.

作者信息

Baek Jihyeon, Park Marn Joon, Lee Ha Young, Kang Sungmo

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Inha University College of Medicine, Incheon, South Korea.

Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine, Incheon, South Korea.

出版信息

Eur J Case Rep Intern Med. 2023 Sep 18;10(10):003987. doi: 10.12890/2023_003987. eCollection 2023.

Abstract

UNLABELLED

is an encapsulated, Gram-negative, nonmotile, rod belonging to the family. Infections involving the gastrointestinal tract and the hepatopancreatobiliary system are most frequently reported, especially in immunocompromised patients. The authors present an unusual case of acute complicated sinusitis with orbital and intracranial involvement caused by . The infection was rapidly progressive, even though the patient was a healthy, young person without any co-morbidities. The patient's condition improved after antibiotic treatment and multiple ophthalmic and sinus surgeries.

LEARNING POINTS

can cause rapidly progressive infections, even in immunocompetent young individuals. identified in sinusitis can be a true pathogen rather than an innocent bystander.

摘要

未标记

是一种属于该家族的有包膜、革兰氏阴性、无运动性的杆菌。涉及胃肠道和肝胰胆系统的感染最为常见,尤其是在免疫功能低下的患者中。作者报告了一例由[具体细菌名称未给出]引起的伴有眼眶和颅内受累的急性复杂性鼻窦炎的罕见病例。尽管患者是一名健康的年轻人且没有任何合并症,但感染进展迅速。经过抗生素治疗以及多次眼科和鼻窦手术,患者的病情有所改善。

学习要点

[具体细菌名称未给出]即使在免疫功能正常的年轻人中也可引起迅速进展的感染。在鼻窦炎中鉴定出的[具体细菌名称未给出]可能是真正的病原体,而非无害的旁观者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/10545151/5afe8d61b957/3987_Fig1.jpg

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