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本文报告1例21岁的男性患者有囊性纤维化,由于厌氧葡萄球菌感染发展成双侧脑脓肿.病例报告:男性、21岁,在出生后21个月发现有囊性纤维化症.因复发性肺炎和支气管扩张,曾多次住院治疗.痰培养有金黄色葡萄球菌、粘蛋白和非粘蛋白型绿脓杆菌生长.此病人直到入院前一日,出现癫痫大发作,在这以前情况尚好,近期内无头部外伤、服药和发热病史,未用过抗菌素,过去无癫痫史;腰穿脑脊液初压140毫米水柱,蛋白20毫克,红细胞及白细胞各为2个.血糖107毫克,脑脊液葡萄糖为53毫克.次日病人入院时已处于昏睡但定向力存在.无发热,血压110/60毫米汞柱,脉搏60次/分,右下肺呼吸音减低并有广泛的骨关节病.未查出局灶性神经系统征象.眼底正常.胸片表现为肺纹增粗和明显的肺门囊性纤维性阴影征象.痰
This article reports a case of 21-year-old male patient with cystic fibrosis who develops bilateral brain abscess due to anaerobic staphylococcal infection.A case report: Male, 21 years old, with cystic fibrosis 21 months after birth. Because of recurrent pneumonia and bronchiectasis, has repeatedly hospitalized sputum culture Staphylococcus aureus, mucin and non-mucinous Pseudomonas aeruginosa growth .This patient until the day before admission, epileptic seizures, before The situation is still good, no head injury in the near future, medication and fever history, no antibiotics used in the past without history of epilepsy; lumbar puncture CSF 140 mm water column, protein 20 mg, red blood cells and leukocytes each 2. 107 mg of blood sugar, Cerebrospinal fluid glucose was 53 mg. The next day the patient was already in a lethargic but directional orientation at admission. No fever, blood pressure 110/60 mm Hg, pulse 60 beats / min, lower right lung breath sounds reduced and extensive osteoarthrosis. Focal neurological signs were not detected. Fundus normal. Chest radiographs showed pulmonary thickening and significant hilar cystic fibrosis signs.