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炭疽性脑膜脑炎:一例病例报告。

Anthrax meningoencephalitis: A case report.

作者信息

Zhou Longshan, Liu Kun, Yang Xiaoqian, Chong Zonglei

机构信息

Department of Neurosurgery, The Second People's Hospital of Liaocheng, Linqing, Shandong 252600, P.R. China.

Department of Neurology, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China.

出版信息

Exp Ther Med. 2024 Nov 1;29(1):9. doi: 10.3892/etm.2024.12759. eCollection 2025 Jan.

Abstract

The present study describes the case of a patient with anthrax meningoencephalitis with the aim of providing a scientific basis for the control of this disease. The cerebrospinal fluid and blood of the patient were tested for genes and was detected. The patient's meningitis was cured following treatment. Tracing the route of infection, anthrax was detected on the chopping board of the rural cattle and sheep butcher shop where the patient had purchased meat. In 2018, the patient complained of intermittent nasal discharge for 11 days after brain injury and came to the Second People's Hospital of Liaocheng (Linqing, China). Considering the existence of cerebrospinal fluid rhinorrhea, the patient's cerebrospinal fluid biochemistry was assessed and showed low sugar and high protein levels, resulting in a diagnosis of bacterial encephalitis. This encephalitis was considered to be related to bacterial retrograde infection after cerebrospinal fluid rhinorrhea. It is required to strengthen the training of medical personnel according to guidelines and laws and improve the level of early detection, reporting and diagnosis, as well as timely treatment at medical institutions. There is an urgent need to intensify the education of the population regarding the awareness and prevention of the disease. For individuals involved in the breeding, slaughtering and processing of livestock, multiple measures need to be taken to comprehensively intervene and to enhance occupational protection awareness and disease prevention capabilities.

摘要

本研究描述了一例炭疽性脑膜脑炎患者的病例,旨在为控制这种疾病提供科学依据。对患者的脑脊液和血液进行了基因检测并检测到相关情况。患者的脑膜炎经治疗后痊愈。追踪感染途径时,在患者购买肉类的农村牛羊屠宰店的案板上检测到了炭疽。2018年,患者在脑损伤后出现间歇性鼻漏11天,前往聊城市第二人民医院(中国临清)就诊。考虑到存在脑脊液鼻漏,对患者的脑脊液生化指标进行了评估,结果显示糖含量低、蛋白质含量高,诊断为细菌性脑炎。这种脑炎被认为与脑脊液鼻漏后的细菌逆行感染有关。需要根据指南和法律加强医务人员培训,提高医疗机构早期发现、报告和诊断水平以及及时治疗能力。迫切需要加强对民众关于该疾病的认识和预防教育。对于从事牲畜养殖、屠宰和加工的人员,需要采取多项措施进行全面干预,提高职业防护意识和疾病预防能力。

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