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二氧化碳嗜纤维菌性脑膜炎：一例罕见的伴有神经症状的细菌感染病例。

Capnocytophaga Meningitis: A Rare Case of Bacterial Infection With Neurological Manifestation.

作者信息

Tang Hansen M, Sowunmi Leanne, Parnell Eric, Avner Benjamin S

机构信息

Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.

Microbiology, Bronson Healthcare, Kalamazoo, USA.

出版信息

Cureus. 2024 Dec 1;16(12):e74927. doi: 10.7759/cureus.74927. eCollection 2024 Dec.

DOI:10.7759/cureus.74927
PMID:39742160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11688160/
Abstract

We discuss a case of meningitis caused by infection in a previously healthy elderly male who presented with altered mental status and new-onset seizures requiring intensive care. An open wound had served as an entry point for the infectious organism. After 25 days of treatment with meropenem, he recovered with persistent functional limitations and was discharged. We also engage in a review of the relevant literature and highlight the importance of identifying animal exposure in patients with meningitis.

摘要

我们讨论了一例脑膜炎病例，该病例发生在一名先前健康的老年男性身上，由感染引起，他出现精神状态改变和新发癫痫发作，需要重症监护。一个开放性伤口成为了感染源的入口。在接受美罗培南治疗25天后，他康复，但仍有持续的功能受限，随后出院。我们还对相关文献进行了综述，并强调了在脑膜炎患者中识别动物接触史的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e85/11688160/7141d71872fe/cureus-0016-00000074927-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e85/11688160/7141d71872fe/cureus-0016-00000074927-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e85/11688160/7141d71872fe/cureus-0016-00000074927-i01.jpg

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本文引用的文献

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Surviving Capnocytophaga Canimorsus Septic Shock: Intertwining a Challenging Diagnosis with Prompt Treatment.犬咬二氧化碳嗜纤维菌败血症休克幸存者：将具有挑战性的诊断与及时治疗交织在一起
Diagnostics (Basel). 2022 Jan 20;12(2):260. doi: 10.3390/diagnostics12020260.
2
Rare case of meningitis in a man without risk factors.一例无危险因素的男性脑膜炎罕见病例。
BMJ Case Rep. 2021 May 28;14(5):e241686. doi: 10.1136/bcr-2021-241686.
3
Capnocytophaga canimorsus Meningitis: Diagnosis Using Polymerase Chain Reaction Testing and Systematic Review of the Literature.
犬咬二氧化碳嗜纤维菌性脑膜炎：应用聚合酶链反应检测进行诊断及文献系统综述
Infect Dis Ther. 2019 Mar;8(1):119-136. doi: 10.1007/s40121-019-0233-6. Epub 2019 Jan 31.
4
Capnocytophaga canimorsus Capsular Serovar and Disease Severity, Helsinki Hospital District, Finland, 2000-2017.卡他莫拉菌荚膜血清型与疾病严重程度，芬兰赫尔辛基大区医院，2000-2017 年。
Emerg Infect Dis. 2018 Dec;24(12):2195-2201. doi: 10.3201/eid2412.172060.
5
Evaluation of matrix-assisted laser desorption ionization-time of flight mass spectrometry for identification of human oral Capnocytophaga species.基质辅助激光解吸电离飞行时间质谱法用于鉴定人源口腔二氧化碳嗜纤维菌属菌种的评估
Anaerobe. 2017 Dec;48:89-93. doi: 10.1016/j.anaerobe.2017.07.003. Epub 2017 Jul 21.
6
Lick of death: Capnocytophaga canimorsus is an important cause of sepsis in the elderly.夺命一舔：犬咬二氧化碳嗜纤维菌是老年人败血症的重要病因。
BMJ Case Rep. 2016 Jun 30;2016:bcr2016215450. doi: 10.1136/bcr-2016-215450.
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Capnocytophaga canimorsus bacteremia: clinical features and outcomes from a Helsinki ICU cohort.犬咬二氧化碳嗜纤维菌血症：赫尔辛基重症监护病房队列的临床特征与转归
Acta Anaesthesiol Scand. 2016 Nov;60(10):1437-1443. doi: 10.1111/aas.12752. Epub 2016 Jun 2.
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Zoonoses Public Health. 2016 Sep;63(6):442-8. doi: 10.1111/zph.12248. Epub 2015 Dec 23.
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Eur J Clin Microbiol Infect Dis. 2015 Jul;34(7):1271-80. doi: 10.1007/s10096-015-2360-7. Epub 2015 Apr 1.
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