Li Z X, Zhao B, Feng Z
Bacteriological Laboratory, Second Affillated Hospital, HeBei Medical College, Shijiazhuang, China.
Kansenshogaku Zasshi. 1994 Mar;68(3):403-6. doi: 10.11150/kansenshogakuzasshi1970.68.403.
The patient was a 26-year-old man who complained of headache and vomiting. On examination, there was nothing abnormal, but the edge of the right optic papilla was not clear. His temperature was 38.5 degrees C, pulse 96/min, blood pressure 120/80 mmHg. A space-occupying lesion in his fronto-dextra cupular part was found by CT scanning. He had a 12-year history of chronic purulent otitis. The diagnosis was a brain abscess in the fronto-dextra cupular part. The brain abscess was extracted and Pasteurella multocida was isolated from the dark brown pus draining from the abscess. The patient recovered through proper antibiotic therapy based on a sensitivity test. Reports of infections caused by this organism in foreign countries very widely from local infections due to bites and scratches by cats, dogs etc. to general infections such as infections of the respiratory tract, sepsis and meningitis. However, Pasteurella multocida brain abscesses are rare. Pasteurella multocida is a Gram-negative short rod which is best known as part of the mouth flora and as a pathogen causing septicemia in many domestic animals, such as cats, dogs etc.. Infection in man results mainly from animal bites or scratches. It has been reported that Pasteurella multodida can cause human septicemia, meningitis, respiratory tract infection, conjunctivitis and other infections. We isolated a strain of Pasteurella multocida from the pus of a brain abscess following chronic purulent otitis on August 6, 1990.
患者为一名26岁男性,主诉头痛和呕吐。检查时未发现异常,但右侧视乳头边缘不清晰。他的体温为38.5摄氏度,脉搏96次/分钟,血压120/80毫米汞柱。CT扫描发现其额右穹窿部有占位性病变。他有12年慢性化脓性中耳炎病史。诊断为额右穹窿部脑脓肿。取出脑脓肿,从脓肿流出的深棕色脓液中分离出多杀巴斯德菌。患者通过基于药敏试验的适当抗生素治疗后康复。在国外,关于这种微生物引起感染的报道非常广泛,从猫、狗等咬伤和抓伤引起的局部感染到呼吸道感染、败血症和脑膜炎等全身感染。然而,多杀巴斯德菌脑脓肿很罕见。多杀巴斯德菌是一种革兰氏阴性短杆菌,最广为人知的是作为口腔菌群的一部分以及导致许多家畜(如猫、狗等)败血症的病原体。人类感染主要源于动物咬伤或抓伤。据报道,多杀巴斯德菌可引起人类败血症、脑膜炎、呼吸道感染、结膜炎和其他感染。1990年8月6日,我们从一名慢性化脓性中耳炎后脑脓肿的脓液中分离出一株多杀巴斯德菌。