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一个患有大动脉转移和心室间沟通的患者的细菌脑
Ana K Gómez-Gutiérrez1, Araceli Morelos-Ulibarri2, Daniela Trejo-Ponce de Leon3
1Infectious Diseases Division, National Institute of Pediatrics, Mexico City, MEX.
Cureus
|November 29, 2023
概括
这一案例突出了患有先天性心脏缺陷的儿童多重脑的罕见案例,与口腔卫生不良和牙损伤有关. 及时的牙科护理和血栓预防对于预防这种严重的神经并发症至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
背景情况:
- 大脑是罕见的,但是在大脑外围膜内的危及生命的感染.
- 蓝色心脏缺陷是已知的危险因素,尽管有记录的病例并不常见.
- 牙感染可能导致严重的全身并发症.
研究的目的:
- 为了呈现一个罕见的多重脑的病例,在一个小儿病患者中,大动脉的转移未经纠正.
- 通过血液传播探索牙损伤和脑形成之间的病理生理联系.
- 强调口腔卫生和风险人群的预防措施的重要性.
主要方法:
- 一个八岁男孩的病例报告出现了头痛,发烧和神经系统缺陷的症状.
- 诊断成像 (MRI/CT) 用于识别大脑病变.
- 微生物学分析以识别引起病原体 (Streptococcus intermedius,Fusobacterium spp. 菌种) 的原因. ) 的情况.
主要成果:
- 这位患者出现了三个脑.
- 被确定为口腔微生物,Streptococcus intermedius和Fusobacterium spp.的致病原体.
- 患者有严重的牙损伤和口腔卫生不佳,这表明牙起源.
结论:
- 局部牙感染可以以血源性传播,导致大脑,特别是在患有先天性心脏缺陷的患者中,包括从右到左的分流.
- 定期的牙科评估对于早期检测和这些患者口腔感染的管理至关重要.
- 在高风险人群中,可以考虑进行血栓预防,以预防这种严重的神经并发症.
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