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由于球孢子菌病引起的变形杆菌脑脓肿导致的脑积水是一种罕见的并发症。

A Rare Complication of Proteus Brain Abscess Due to Coccidioidomycosis Causing Hydrocephalus.

机构信息

Kern Medical-UCLA, Bakersfield, USA.

出版信息

J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241274340. doi: 10.1177/23247096241274340.

Abstract

is a very common gram-negative facultative anaerobe seen in urinary tract infections. This rod-shaped bacterium tends to cause urolithiasis via its ability to alkalinize the urine. However, in some cases, this bacterium has been shown to cause bacteremia as well as other complicated infections. Here we would like to present a rare case of that has invaded the brain in a patient that has a ventriculoperitoneal (VP) shunt placed due to coccidioidal meningitis causing hydrocephalus. We would also like to discuss the importance of the monitoring of VP shunt and discuss their likelihood of infections and the medical as well as surgical management.

摘要

是一种常见的革兰氏阴性需氧菌,见于尿路感染。这种杆状细菌通过使尿液碱化的能力倾向于引起尿路结石。然而,在某些情况下,这种细菌已被证明会引起菌血症以及其他复杂感染。在这里,我们想介绍一例罕见的病例,由于隐球菌性脑膜炎引起的脑积水而放置脑室-腹腔(VP)分流管的患者,该细菌已侵入大脑。我们还将讨论监测 VP 分流的重要性,并讨论它们感染的可能性以及医疗和手术管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06dc/11344898/84d73909871a/10.1177_23247096241274340-fig1.jpg

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