相关实验视频

Updated: Jan 13, 2026

Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression

Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression

Published on: June 15, 2019

在选择性耳鼻腔外科手术后爆发性多药耐药性肺炎链球菌脑膜炎:一个病例报告

Corina-Ioana Anton^1,2,3, Madalina Maria Zamfir¹, Alexandru Ghiță⁴

¹Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, 8 Eroii Sanitari Bvd, 050474 Bucharest, Romania.

|October 29, 2025

概括

手术后的肺炎球菌脑膜炎是罕见但严重的. 这一案例强调了对多药耐药菌株的及时治疗的必要性,并强调了高风险手术患者的肺炎球菌疫苗接种,以预防严重的中枢神经系统感染.

科学领域:

传染性疾病传染性疾病
神经学神经学
关键护理医学关键护理医学

背景情况:

肺炎球菌脑膜炎是一种严重的感染,患病率和死亡率很高.
选择性耳鼻喉 (ENT) 手术后的术后病例很少见.
抗菌耐药性 (AMR) 和错过的疫苗接种机会使肺炎球菌感染复杂化.

研究的目的:

报告一个罕见的 fulminant pneumococcal 脑膜炎病例,该病例发生在选择性 ENT 手术后.
突出多药耐药性 (MDR) 肺炎链球菌所带来的挑战.
为了强调肺炎球菌疫苗接种在高风险手术患者中的重要性.

主要方法:

一个41岁的男性患者的病例报告,他患有并发症.
临床表现,重症监护管理和脑脊液 (CSF) 培养分析.
用万科米,美罗和辅助皮质类固醇治疗.

主要成果:

患者在隔膜整形手术后48小时出现严重的脑膜炎.
在CSF培养物中,发现了一种MDR肺炎球菌菌株,该菌株对青素和类固醇有抗性.
通过适当的经验治疗和重症监护,患者实现了完全的神经恢复.

结论:

耐多药性肺炎球菌需要及时识别和积极的经验治疗.
可预防的护理缺口,例如缺乏肺炎球菌疫苗接种,会增加风险.
将疫苗查整合到手术前评估中,可以预防手术后严重的中枢神经系统感染.

关键词:

耳鼻喉外科手术是一项手术.抗微生物耐药性抗微生物耐药性这是肺炎球菌脑膜炎.七度轮塑造术是指七度轮塑造术.接种疫苗接种疫苗

更多相关视频

Surgical Treatment of an Endolymphatic Sac Tumor

Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

Published on: February 29, 2020

相关概念视频

Acute Pyelonephritis II: Diagnostic Studies and Management

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

Pneumonia I: Introduction

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...