相关实验视频
Updated: Feb 10, 2026

05:02
Listeria monocytogenes Infection of the Brain
Published on: October 2, 2018
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在重症监护室的李斯特菌单细胞性脑膜炎
Ana Sofia Alves1, Joana Fernandes1, Maria João Pinto1
1Intensive Care Unit, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Cureus
|February 9, 2026
概括
社区获得的Listeria monocytogenes脑膜炎是严重的,特别是在老年人中. 这项研究发现,晚年和酒精使用是关键的危险因素,所有患者尽管长时间在ICU住院,但都幸存下来.
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:
- 社区获得的细菌性脑膜炎是一种危及生命的疾病.
- 李斯特菌 (Listeria monocytogenes) 是一个重要的致病因子,特别是在老年人和免疫受损者中.
- 李斯特菌脑膜炎通常需要进入重症监护室 (ICU).
研究的目的:
- 分析临床特征,风险因素和社区获得的李斯特菌单细胞性脑膜炎在ICU患者的管理.
- 描述这个患者群体的结果和并发症.
主要方法:
- 在ICU中进行了一项描述性,回顾性研究.
- 包括接受社区获得的Listeria monocytogenes脑膜炎的成年患者超过9年.
- 分析了临床数据,ICU严重性评分 (APACHE II,SAPS II,SAPS III,SOFA) 和患者的治疗结果.
主要成果:
- 六名患者被录入ICU,平均ICU停留时间为5.8天,住院时间为27.8天.
- 经典脑膜炎三位一体仅在33.3%的患者中存在.
- 晚年和酒精消费被确定为主要的危险因素. 所有患者都接受了早期的抗生素治疗,并幸存下来,尽管有两人有神经系统的后果.
结论:
- 在ICU中的Listeria monocytogenes脑膜炎虽然严重,但在及时治疗的情况下可以有生存的结果.
- 在诊断和管理中应考虑诸如晚年和酒精消费等风险因素.
- 尽管幸存下来,神经系统的后果仍然会发生,这凸显了长期随访的重要性.
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