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免疫功能正常患者的相关牙源性脑脓肿:一例报告

-associated odontogenic cerebral abscess in an immunocompetent patient: A case report.

作者信息

Scalia Gianluca, Ponzo Giancarlo, Giuffrida Massimiliano, Patanè Domenico, Riso Marcello Filippo, Garozzo Adriana, Chaurasia Bipin, Umana Giuseppe Emmanuele, Nicoletti Giovanni Federico

机构信息

Neurosurgery Clinic, Department of Head and Neck Surgery Garibaldi Hospital Catania Italy.

Department of Nursing Service Garibaldi Hospital Catania Italy.

出版信息

Clin Case Rep. 2024 Jul 11;12(7):e9168. doi: 10.1002/ccr3.9168. eCollection 2024 Jul.

Abstract

KEY CLINICAL MESSAGE

can cause rare odontogenic brain abscesses in immunocompetent patients, highlighting the importance of considering uncommon pathogens in central nervous system infections. With only three reported cases of cerebral abscesses and one pituitary abscess caused by this microorganism, tailored diagnostic methods and individualized treatment regimens are crucial for accurate management.

ABSTRACT

Brain abscesses present diagnostic and therapeutic challenges, with infections being exceptionally rare in the central nervous system. We present a case of odontogenic brain abscesses caused by in an immunocompetent patient, highlighting the rarity and complexity of such infections. A 66-year-old male presented with spatial-temporal disorientation and left-sided weakness. Radiological investigations revealed an expansive lesion in the right posterior frontal region. A craniotomy and drainage were performed, identifying in the purulent material. The patient responded well to tailored antibiotic therapy. -related central nervous system infections are infrequent, emphasizing the need for a heightened clinical suspicion in atypical cases. This case contributes to the literature, emphasizing the importance of a multidisciplinary approach for successful diagnosis and management.

摘要

关键临床信息

可在免疫功能正常的患者中引起罕见的牙源性脑脓肿,凸显了在中枢神经系统感染中考虑罕见病原体的重要性。该微生物仅报告了3例脑脓肿病例和1例垂体脓肿病例,因此,定制的诊断方法和个体化治疗方案对于准确管理至关重要。

摘要

脑脓肿带来了诊断和治疗方面的挑战,中枢神经系统感染极为罕见。我们报告了一例免疫功能正常的患者由[微生物名称未给出]引起的牙源性脑脓肿病例,凸显了此类感染的罕见性和复杂性。一名66岁男性出现时空定向障碍和左侧肢体无力。影像学检查显示右后额叶区有一个占位性病变。进行了开颅引流,在脓性物质中发现了[微生物名称未给出]。患者对定制的抗生素治疗反应良好。[微生物名称未给出]相关的中枢神经系统感染并不常见,强调在非典型病例中需要提高临床怀疑度。该病例丰富了文献资料,强调了多学科方法对于成功诊断和管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935f/11239531/383dd106b2ff/CCR3-12-e9168-g002.jpg

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