炭疽芽孢杆菌所致致死性脑膜脑炎

Fatal meningoencephalitis due to Bacillus anthracis.

作者信息

Kwong K L, Que T L, Wong S N, So K T

机构信息

Department of Paediatrics, Tuen Mun Hospital, Hong Kong.

出版信息

J Paediatr Child Health. 1997 Dec;33(6):539-41. doi: 10.1111/j.1440-1754.1997.tb01667.x.

DOI:10.1111/j.1440-1754.1997.tb01667.x

PMID:9484689

Abstract

We report the first case of fatal anthrax meningoencephalitis in Hong Kong over the past 60 years. A 13 year-old boy presented with right lower quadrant pain, diarrhoea and progressive headache. Lumbar puncture yielded gram positive bacilli initially thought to be Bacillus cereus, a contaminant. He was treated with ampicillin and cefotaxime, but died 3 days after hospitalization. The organism isolated from blood and cerebrospinal fluid was later identified as Bacillus anthracis.

摘要

我们报告了香港过去60年来首例致命性炭疽性脑膜脑炎病例。一名13岁男孩出现右下腹疼痛、腹泻及进行性头痛。腰椎穿刺抽出革兰氏阳性杆菌，最初认为是污染菌蜡样芽孢杆菌。他接受了氨苄西林和头孢噻肟治疗，但住院3天后死亡。后来从血液和脑脊液中分离出的病原体被鉴定为炭疽芽孢杆菌。