Rennels M B, Woodward C L, Robinson W L, Gumbinas M T, Brenner J I
Pediatrics. 1983 Aug;72(2):220-4.
Two children with apparent brain abscesses were cured with antibiotic therapy. Review of the literature reveals clinical and experimental evidence that both cerebritis and an encapsulated abscess may appear as an enhancing ring lesion on cranial computed tomography. Patients reported to have had brain abscesses cured without surgery actually may have had cerebritis. There are only preliminary hints as to how to differentiate patients with cerebritis from those with an abscess. More experience is necessary to develop criteria to determine which patients may be appropriately treated with antibiotic therapy alone.
两名看似患有脑脓肿的儿童通过抗生素治疗得以治愈。文献回顾显示，临床和实验证据表明，脑脓肿和包膜性脓肿在头颅计算机断层扫描上均可表现为强化环形病变。报告称未经手术治愈脑脓肿的患者实际上可能患有脑炎。关于如何区分脑炎患者和脓肿患者，目前仅有初步线索。需要更多经验来制定标准，以确定哪些患者仅用抗生素治疗可能就足够了。
