与聚合菌阿弗罗菲勒斯相关的状鼻炎引起轨道细胞炎,脑膜炎和静脉鼻血栓症
Nobuhiko Ohashi1, Yoshino Kawamura1, Shota Kamijima1
1Department of Neurology, Nagano Red Cross Hospital, Japan.
Internal medicine (Tokyo, Japan)
|September 18, 2024
概括
本案例研究详细介绍了一种罕见的Aggregatibacter aphrophilus感染,导致状鼻炎,导致严重的并发症,如轨道细胞炎和静脉鼻血栓在老年妇女.
科学领域:
- 传染性疾病 传染性疾病
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 状鼻炎是一种不常见的感染,可能导致严重的内和轨道并发症.
- 聚合菌 (Aggregatibacter aphrophilus) 是一种通常在口腔中发现的细菌,很少涉及严重的侵入性感染.
研究的目的:
- 报告第一个已知的Aggregatibacter aphrophilus状鼻炎病例,导致一连串严重并发症.
- 突出诊断挑战和成功管理这种罕见的临床表现.
主要方法:
- 一个81岁的老妇人的临床病例介绍,患有急性症状.
- 诊断成像包括磁共振成像 (MRI) 来评估轨道和内结构.
- 血液培养物的微生物学分析,使用质谱测量来识别病原体.
- 多模式治疗包括抗生素,抗凝固剂和手术干预.
主要成果:
- 患者呈现出发烧,头痛和右眼胀,进展到亡以及洞穴鼻和静脉鼻血栓的迹象.
- 核磁共振扫描显示了状鼻炎,洞穴鼻扩大,上眼静脉 (SOV) 扩张,心室内碎片和多个静脉鼻的血栓形成.
- 血液培养物确定了Aggregatibacter aphrophilus作为致病剂.
- 患者通过结合抗生素,抗凝剂和手术疏通鼻炎显著改善.
结论:
- 聚聚细菌阿弗罗菲勒斯可以导致严重的状鼻炎,并带有广泛的轨道和内并发症,包括静脉鼻血栓症.
- 早期诊断和积极的多模式治疗对于这种罕见感染的良好结果至关重要.
- 这一案例强调了在影响头部区域的复杂传染性综合征中考虑不寻常病原体的重要性.
关键词:
聚合细菌阿弗罗菲勒斯 (Agregatibacter aphrophilus) 是一种有机物.质谱测量质谱测量质谱测量质谱测量质量测量质谱测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量脑膜炎是一种脑膜炎.轨道细胞炎是什么意思状鼻炎是什么情况?静脉鼻血栓塞的发生更多相关视频
11:32Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
Published on: February 23, 2014
15.0K
07:24Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
11.3K
相关概念视频
01:30Acute Pharyngitis
482
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
482
01:23Chronic Pharyngitis
1.4K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.4K
01:30Tonsillitis I: Introduction
212
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
212
01:25Glaucoma: Overview
528
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
528
01:27Cranial Bones: Lateral View
2.1K
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
2.1K
01:26Tonsillitis II: Management
104
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
104