Wang Yu Ching, Hsu Hsiang-Chin, Shih Hsin-I
National Cheng Kung University Hospital Department of Emergency Medicine Tainan Taiwan.
College of Medicine School of Medicine National Cheng Kung University, Tainan Taiwan.
J Acute Med. 2024 Sep 1;14(3):130-133. doi: 10.6705/j.jacme.202409_14(3).0005.
Acute deteriorated consciousness is commonly reported in elderly COVID-19 patients. Secondary bacterial infection is common in critically ill COVID-19 patients. is a gram-positive, facultatively intracellular rod-shaped bacterium ubiquitously distributed in the environment and is an opportunistic and foodborne pathogen. Pregnant women and their newborns, adults aged 65 years or older, and immunocompromised people are more vulnerable to -related invasive disease. A 74-year-old man with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection with initial presentations of headache and acute disorientation, which was finally diagnosed with . bacteremia and meningitis. Multiplex polymerase chain reaction (Multiplex PCR) assay was used to rapidly diagnose it in the emergency department.
急性意识恶化在老年新冠病毒肺炎患者中常有报道。继发性细菌感染在危重新冠病毒肺炎患者中很常见。[细菌名称]是一种革兰氏阳性、兼性胞内杆状细菌，广泛分布于环境中，是一种机会性食源性病原体。孕妇及其新生儿、65岁及以上成年人以及免疫功能低下者更容易患与[细菌名称]相关的侵袭性疾病。一名74岁男性感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2），最初表现为头痛和急性定向障碍，最终被诊断为[细菌名称]菌血症和脑膜炎。在急诊科使用多重聚合酶链反应（Multiplex PCR）检测法对其进行快速诊断。
