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眼眶蜂窝织炎并发脑静脉血栓形成和霉菌性动脉瘤。

orbital cellulitis complicated with cerebral venous thrombosis and mycotic aneurysm.

机构信息

Department of Medicine, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia

Department of Neurology, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.

出版信息

BMJ Case Rep. 2024 Aug 7;17(8):e260728. doi: 10.1136/bcr-2024-260728.

Abstract

is a gram-positive anaerobic coccus typically found in the human oral cavity, upper respiratory tract and gastrointestinal system. It occasionally causes intra-abdominal abscesses, spondylodiscitis and other infections. There are very few case reports on mycotic aneurysm related to We describe a rare case of orbital cellulitis complicated with meningitis, cerebral venous thrombosis and internal carotid artery mycotic aneurysm, which was successfully treated with the combination of endovascular therapy and antibiotics. Additionally, the patient received 6 months of anticoagulation therapy for cerebral venous thrombosis.

摘要

是一种革兰阳性厌氧球菌,通常存在于人类口腔、上呼吸道和胃肠道中。它偶尔会引起腹腔脓肿、脊椎骨髓炎和其他感染。与 相关的真菌性动脉瘤的病例报告非常少。我们描述了一例罕见的 眼眶蜂窝织炎合并脑膜炎、脑静脉血栓形成和颈内动脉真菌性动脉瘤的病例,该病例通过血管内治疗和抗生素联合治疗取得了成功。此外,该患者还接受了 6 个月的脑静脉血栓形成抗凝治疗。

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