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老年女性患者口腔链球菌引起的脑膜脑炎和脑室炎

Streptococcus oralis-Induced Meningoencephalitis and Ventriculitis in a Geriatric Female Patient.

作者信息

Adly Mohammed, Elmoheen Amr, Helmi Ahmed Mohamed M, Hanbouly Abdelraheem, Mishreky Larissa Michael

机构信息

Emergency Department, Hamad Medical Corporation, Doha, QAT.

Medicine, Qatar University, College of Medicine, Doha, QAT.

出版信息

Cureus. 2023 Sep 27;15(9):e46101. doi: 10.7759/cureus.46101. eCollection 2023 Sep.

DOI:10.7759/cureus.46101
PMID:37900504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10611942/
Abstract

A 71-year-old female with a history of hypertension, diabetes, and dyslipidemia developed altered mental status, fever, headache, and vomiting. Subsequent evaluation revealed meningoencephalitis and ventriculitis due to Streptococcus oralis, which was found to be ceftriaxone-sensitive. The patient's condition improved with ceftriaxone treatment, leading to complete recovery. This case underscores the significance of including Streptococcus oralis in the differential diagnosis of meningitis or encephalitis.

摘要

一名71岁女性，有高血压、糖尿病和血脂异常病史，出现精神状态改变、发热、头痛和呕吐。随后的评估显示因口腔链球菌导致的脑膜脑炎和脑室炎，发现该菌对头孢曲松敏感。患者经头孢曲松治疗后病情改善，最终完全康复。该病例强调了在脑膜炎或脑炎的鉴别诊断中考虑口腔链球菌的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae0/10611942/d43703804eea/cureus-0015-00000046101-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae0/10611942/6a8a1dd61370/cureus-0015-00000046101-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae0/10611942/ef87f6624cf5/cureus-0015-00000046101-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae0/10611942/d43703804eea/cureus-0015-00000046101-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae0/10611942/6a8a1dd61370/cureus-0015-00000046101-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae0/10611942/ef87f6624cf5/cureus-0015-00000046101-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae0/10611942/d43703804eea/cureus-0015-00000046101-i03.jpg

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2
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Intern Med. 2021 Mar 1;60(5):789-793. doi: 10.2169/internalmedicine.5628-20. Epub 2020 Sep 30.
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Identification of Streptococcus pneumoniae and other Mitis streptococci: importance of molecular methods.鉴定肺炎链球菌和其他缓症链球菌：分子方法的重要性。
Eur J Clin Microbiol Infect Dis. 2020 Dec;39(12):2247-2256. doi: 10.1007/s10096-020-03991-9. Epub 2020 Jul 24.
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