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脊髓造影术后细菌性脑膜炎。

Bacterial meningitis after myelography.

作者信息

Worthington M, Hills J, Tally F, Flynn R

出版信息

Surg Neurol. 1980 Oct;14(4):318-20.

PMID:7434200
Abstract

Two cases opf bacterial meningitis due to streptococci occurred following Pantopaque myelography. These are, to our knowledge, the first reports of Streptococcus mitus and group G streptococcus causing meningitis in this situation. These 2 cases emphasize the importance of considering the possibility of bacterial meningitis following myelography and the difficulty in differentiating it on clinical grounds from the more common aseptic meningitis that occurs after myelography. They also emphasize the importance of maintaining strict sterile technique during myelography.

摘要

两例因链球菌引起的细菌性脑膜炎发生在碘苯酯脊髓造影术后。据我们所知,这是关于缓症链球菌和G群链球菌在此种情况下引起脑膜炎的首次报道。这两例病例强调了在脊髓造影术后考虑细菌性脑膜炎可能性的重要性,以及临床上将其与脊髓造影术后更常见的无菌性脑膜炎相鉴别的困难。它们还强调了在脊髓造影术中保持严格无菌技术的重要性。

相似文献

1
Bacterial meningitis after myelography.脊髓造影术后细菌性脑膜炎。
Surg Neurol. 1980 Oct;14(4):318-20.
2
Bacterial meningitis following Pantopaque myelography. A case report and literature review.
Orthopedics. 1985 Jan;8(1):73-6. doi: 10.3928/0147-7447-19850101-12.
3
Streptococcus pyogenes meningitis after myelography.
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[Streptococcal meningitis secondary to inoculation. 2 cases].
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Streptococcal meningitis complicating diagnostic myelography: three cases and review.并发诊断性脊髓造影的链球菌性脑膜炎:三例报告及文献复习
Clin Infect Dis. 1995 Mar;20(3):582-7. doi: 10.1093/clinids/20.3.582.
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[Meningitis after myelography].
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Group A beta-hemolytic streptococcal meningitis in adults.成人A组β溶血性链球菌脑膜炎
J Med Assoc Thai. 1989 Oct;72(10):545-7.
8
Streptococcal meningitis after myelography.
Arch Neurol. 1982 Sep;39(9):576-7. doi: 10.1001/archneur.1982.00510210046010.
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C reactive protein for differentiating bacterial from aseptic meningitis in Thai patients.C反应蛋白在泰国患者细菌性与无菌性脑膜炎鉴别诊断中的应用
J Med Assoc Thai. 2005 Sep;88(9):1251-6.
10
[Use of Boyer's score in the differential diagnosis of meningitis].
An Esp Pediatr. 1983 Feb;18(2):97-102.

引用本文的文献

1
Outbreak of bacterial meningitis among patients undergoing myelography at an outpatient radiology clinic.门诊放射科行脊髓造影术患者中爆发细菌性脑膜炎。
J Am Coll Radiol. 2012 Mar;9(3):185-90. doi: 10.1016/j.jacr.2011.09.018.
2
Aseptic meningoencephalitis after iohexol CT myelography.碘海醇CT脊髓造影术后无菌性脑膜脑炎。
AJNR Am J Neuroradiol. 2009 May;30(5):1074-5. doi: 10.3174/ajnr.A1365. Epub 2008 Nov 27.
3
Alpha-hemolytic streptococci: a major pathogen of iatrogenic meningitis following lumbar puncture. Case reports and a review of the literature.
Infection. 1996 Jan-Feb;24(1):29-33. doi: 10.1007/BF01780647.
4
Meningitis and sepsis due to group G streptococcus.G 群链球菌所致的脑膜炎和败血症
Eur J Clin Microbiol Infect Dis. 1993 Mar;12(3):224-5. doi: 10.1007/BF01967119.
5
Chemical meningitis in metrizamide myelography. A report of seven cases.
Neuroradiology. 1986;28(1):69-71. doi: 10.1007/BF00341770.