儿童中原发性阿米布性脑膜炎:一个病例报告和文献综述
Binbin Song1, Junwen Zheng1,2, Dongchi Zhao1,2
1Department of Pediatrics, Zhongnan Hospital of Wuhan University, Wuhan, China.
IDCases
|August 7, 2024
概括
本案例研究详细介绍了一名患有Naegleria fowleri引起的初级阿米比克脑膜炎 (PAM) 的儿科患者. 该报告强调了中国的创纪录的生存期,提供了对PAM诊断和治疗的见解.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 初级阿美比性脑膜炎 (PAM) 是一种罕见且往往致命的中枢神经系统感染.
- 菌是病原体,通常是通过淡水暴露获得的.
- 儿童PAM病例的预后在历史上一直很差,特别是在中国这样的地区.
研究的目的:
- 为了呈现一个全面的诊断和治疗案例的儿科PAM.
- 审查当前的文献和PAM研究的最新进展.
- 为提高PAM患者的临床意识和生存率做出贡献.
主要方法:
- 一个14岁的男性患有PAM的病例报告.
- 脑脊液的新一代代代数测序 (mNGS) 用于病原体的识别.
- 临床检查,部CT和MRI用于诊断和分期.
- 一个45天的治疗方案,包括抗氨基药物,支持性护理和ICP管理.
主要成果:
- 儿科PAM的诊断得到了mNGS的证实,确定了Naegleria fowleri.
- 临床表现包括发烧,头痛,和意识改变.
- 该患者在中国获得了儿科PAM最长的生存期 (45天).
结论:
- 这一案例强调了早期诊断和儿童PAM的积极管理的重要性.
- mNGS是快速识别Naegleria fowleri的一个有价值的工具.
- 获得的延长存活期提供了希望,并为PAM的未来治疗策略提供了信息.
相关概念视频
Bacterial Meningitis
Bacterial meningitis is a severe infectious disease involving inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. It occurs when pathogenic bacteria cross the blood–brain barrier and enter the cerebrospinal fluid. Common causative organisms include Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b, Listeria monocytogenes, and Escherichia coli K1. The exact route of entry varies by pathogen and host condition.Routes of Entry...
Viral Meningitis
Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Bacterial Meningitis I: Introduction
Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Encephalitis l: Introduction
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...


