相关实验视频
Updated: Sep 10, 2025
05:02
Listeria monocytogenes Infection of the Brain
Published on: October 2, 2018
12.8K
类固醇,和一个令人惊的病原体:一例李斯特菌脑膜炎
Shehan M Thangaratnam1, May-Lin Wilgus2, Grant Turner2
1Department of Internal Medicine, Martin Luther King Community Health, Los Angeles, USA.
Cureus
|August 21, 2025
概括
一名患有新发作和精神状态变化的男子被诊断为李斯特菌脑膜炎. 海外未经处方的普雷尼索隆可能导致免疫抑制,导致这种罕见的感染.
科学领域:
- 神经学
- 传染性疾病
- 药理学
背景情况:
- 精神状态变化 (AMS) 是一个诊断挑战,特别是在新发作时.
- 差异性诊断包括代谢障碍,感染和炎症状况.
研究的目的:
- 报告一个Listeria monocytogenes脑膜炎病例,
- 强调由于未知免疫状况和自我治疗而产生的诊断复杂性.
主要方法:
- 一个50岁的男性患有和AMS.
- 诊断工作包括实验室检查,腰部穿刺和药物史的审查.
主要成果:
- 患者表现出代谢障碍 (高甘油血,乳酸水平升高,DKA) 和状态.
- 腰部穿刺显示了李斯特菌单细胞脑膜炎, 导致抗生素缓慢改善.
- 由于成本,公开使用非处方海外普得尼索隆治疗喘.
结论:
- 在诊断未知免疫状况的AMS方面存在挑战.
- 获取关于非处方药和自我治疗风险的附带病史的重要性.
- 在免疫功能低下的患者中,Listeria monocytogenes 脑膜炎可能异常出现.
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