在患有乙性食管炎的患者中,经过EGD与活检后,链球菌中介性脑
N Begum Ozturk1, Tatjana Blazin1, Aparna Hariharan2
1Department of Internal Medicine, Beaumont Hospital, Royal Oak, Michigan.
Rhode Island medical journal (2013)
|March 27, 2024
概括
脑是一种罕见的并发症,在食管胃管腺镜检查 (EGD) 后出现. 这一案例突出了Streptococcus intermedius在EGD和食道活检后引起大脑,以检测eosinophilic食道炎.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 大脑是食道胃二透镜 (EGD) 的罕见并发症.
- 报告的将EGD与脑相关的病例在医学文献中很少见.
- 食管胃管腺镜包括诸如食管活检之类的手术,这可能导致并发症.
研究的目的:
- 在EGD之后报告一个罕见的脑的病例.
- 为了突出EGD与脑形成之间的关联.
- 强调需要及时诊断和管理EGD后的脑.
主要方法:
- 病例报告详细介绍患者的临床表现和诊断过程.
- 关于EGD相关脑的相关文献的综述.
- 致病原体的微生物学鉴定,Streptococcus intermedius. 这种病原体的微生物学鉴定.
主要成果:
- 一名患者在接受了食道活检的EGD后不久就患上了由S. intermedius引起的脑.
- 患者表现出神经症状,包括精神状态改变,头痛和脱节症.
- 食道活检显示出一种新的诊断,即eosinophilic食道炎.
结论:
- 消化管胃腺镜检查,特别是在活检时,很少会导致脑.
- 迅速识别和治疗脑对于有利的结果至关重要.
- 这一案例强调了在EGD后出现神经症状的患者中考虑脑的重要性.
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