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因……导致的首例硬膜下积脓病例。 (你提供的原文不完整,这里是根据现有内容尽量准确翻译)

A first case of subdural empyema due to .

作者信息

Kaneko Masahiko, Shinohara Tomoki, Masuda Yuya, Ishikawa Kenichi, Shikata Hisaharu, Sakisuka Chie, Syoda Daisuke, Fukui Akira, Zenke Kiichirou

机构信息

Department of Hematology, Uwajima City Hospital, Ehime 798-8510, Japan.

Department of Neurosurgery, Uwajima City Hospital, Ehime 798-8510, Japan.

出版信息

IDCases. 2024 Oct 29;38:e02109. doi: 10.1016/j.idcr.2024.e02109. eCollection 2024.

Abstract

, an anaerobic coagulase-negative staphylococcal species, is a member of the normal skin microbiota. It can be a rare cause of human infectious disease and is usually considered a contaminant, but some rare reports have described deep-seated infections caused by . Intracranial subdural empyema, a life-threatening condition that requires early diagnosis and emergency intervention, can be caused by various pathogens. A 54-year-old man with no pre-existing medical conditions other than hypertension was transferred to our emergency department because of progressively worsening consciousness impairment. As non-contrast head computed tomography revealed hematoma-like collection in the subdural space, urgent drainage was performed via multiple burr holes. Perioperative tissue culture yielded monomicrobial growth of after 4 days. Meropenem was administered in the immediate postoperative period, and later replaced with Penicillin G for six weeks. The patient is now in good clinical condition more than 18 months after treatment. This represents the first reported case of subdural empyema caused by in an immunocompetent adult patient with a review of the pertinent literature. should be added to the list of anaerobic microorganisms that can to cause subdural empyema. Prolonged anaerobic culture is critical to improve the yield of this possibly underestimated pathogen.

摘要

[一种厌氧凝固酶阴性葡萄球菌属菌种]是正常皮肤微生物群的成员。它可能是人类传染病的罕见病因,通常被视为污染物,但一些罕见报告描述了由[该菌种]引起的深部感染。颅内硬膜下积脓是一种危及生命的疾病,需要早期诊断和紧急干预,可由多种病原体引起。一名54岁男性,除高血压外无其他基础疾病,因意识障碍逐渐加重被转入我院急诊科。由于非增强头部计算机断层扫描显示硬膜下间隙有血肿样积液,遂通过多个钻孔进行紧急引流。围手术期组织培养在4天后培养出[该菌种]的单一微生物生长。术后立即给予美罗培南,随后换用青霉素G治疗6周。治疗18个月多后,患者目前临床状况良好。这是首例报道的免疫功能正常的成年患者由[该菌种]引起硬膜下积脓的病例,并对相关文献进行了综述。[该菌种]应添加到可导致硬膜下积脓的厌氧微生物名单中。延长厌氧培养对于提高这种可能被低估的病原体的检出率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4201/11605470/432190a2a585/gr1.jpg

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