在老年女性患者中引起的Streptococcus oralis引起的脑膜炎和心室炎
Mohammed Adly1, Amr Elmoheen1,2, Mohamed M Helmi Ahmed3
1Emergency Department, Hamad Medical Corporation, Doha, QAT.
Cureus
|October 30, 2023
概括
这一案例凸显了Streptococcus oralis作为脑膜炎的原因. 及时诊断和 ceftriaxone 治疗导致患有常见并发病症的患者完全康复.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 脑膜炎和腹腔炎是严重的中枢神经系统感染.
- 在这些条件下,Streptococcus oralis是一种不太常见但潜在的病原体.
- 早期诊断和适当的抗生素治疗对于患者的治疗结果至关重要.
研究的目的:
- 报告一个由Streptococcus oralis引起的脑膜大脑炎和腹腔炎病例.
- 强调在差异诊断中考虑Streptococcus oralis的重要性.
- 为了说明 ceftriaxone 在治疗这种感染中的有效性.
主要方法:
- 一个71岁的女性的临床病例介绍.
- 诊断评估包括脑脊液分析.
- 对已识别的病原体进行抗微生物敏感性测试.
- 用塞夫特里亚克松治疗和监测临床反应.
主要成果:
- 患者表现为精神状态变化,发烧,头痛和吐.
- 被诊断出脑膜炎和心室炎.
- 培养物鉴定出Streptococcus oralis,对 ceftriaxone 敏感.
- 随着 ceftriaxone 治疗,获得了临床改善和完全康复.
结论:
- 口腔 estreptococcus 应纳入脑膜炎的差异诊断.
- 塞夫特里亚克松是一种有效的治疗Streptococcus oralis引起的中枢神经系统感染.
- 即时治疗甚至可以在患有并发症的患者中带来良好的结果.
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