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都柏林沙门氏菌引起硬脑膜下积脓的首例报告:中枢神经系统感染的罕见表现。

First report of salmonella Dublin subdural empyema: A rare presentation of CNS infection.

作者信息

Bugazia Seif, Selim Ahmed, Sreenivasan Anuradha, Rehman Mohammed, Mahmoud Mohammed

机构信息

Department of Internal Medicine, Henry Ford Macomb Hospital, Clinton Township, MI, USA.

Department of Neurology, Division of Neurocritical care and Neurointervention, Henry Ford Hospital, Detroit, MI, USA.

出版信息

IDCases. 2024 Nov 6;38:e02111. doi: 10.1016/j.idcr.2024.e02111. eCollection 2024.

Abstract

Subdural empyema can be precipitated by a range of pathogens. Common clinical symptoms include fever, headache, seizures, and changed mental status. Yet, cerebral infections caused by Salmonella are relatively uncommon as it is rare for Salmonella to invade the central nervous system. We present the first reported case of , which was successfully managed with surgical burr hole and drainage in addition to prolonged targeted antimicrobial therapy consisting of 2 g of intravenous Ceftriaxone twice daily for a total of 56 days. This report demonstrates the course of her illness and the corresponding treatment plan; which may help guide medical providers when encountering similar cases.

摘要

硬膜下积脓可由多种病原体引发。常见临床症状包括发热、头痛、癫痫发作和精神状态改变。然而,沙门氏菌引起的脑部感染相对少见,因为沙门氏菌很少侵入中枢神经系统。我们报告首例[此处原文缺失具体病例名称],除了每天两次静脉注射2克头孢曲松共56天的延长靶向抗菌治疗外,还通过手术钻孔引流成功治疗。本报告展示了她的病程及相应治疗方案;这可能有助于指导医疗人员在遇到类似病例时的处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d9a/11574787/9eb7dcefdcc2/gr1.jpg

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