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一名幼儿因复杂急性蝶窦炎导致化脓性脑膜炎伴发热,出现癫痫持续状态。

Status Epilepticus with Fever in a Toddler with Pyogenic Meningitis Due to Complicated Acute Sphenoid Sinusitis.

作者信息

Pershad Jay, Crawford Lexi, Preciado Diego, Harrar Dana, Molto Jose, Shapiro Craig

机构信息

Division of Emergency Medicine, Department of Pediatrics, Children's National Hospital, The George Washington School of Medicine and Health Sciences, Washington, DC.

Division of Critical Care, Department of Pediatrics, Children's National Hospital, The George Washington School of Medicine and Health Sciences, Washington, DC.

出版信息

J Pediatr Clin Pract. 2024 Aug 22;14:200123. doi: 10.1016/j.jpedcp.2024.200123. eCollection 2024 Dec.

Abstract

We present a toddler with acute sphenoid sinusitis presenting as status epilepticus with fever, intracranial abscess and meningitis. Cerebrospinal fluid analysis suggested bacterial meningitis, but polymerase chain reaction test was positive for human herpes virus 6. We highlight diagnosis and treatment of this uncommon condition.

摘要

我们报告一名幼儿,患有急性蝶窦炎,表现为癫痫持续状态,伴有发热、颅内脓肿和脑膜炎。脑脊液分析提示细菌性脑膜炎,但聚合酶链反应检测显示人疱疹病毒6型呈阳性。我们着重介绍了这种罕见病症的诊断和治疗方法。

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