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頁籤選單縮合
題名 | Oral Wooden Stick Injury Complicated by Meningitis and Brain Abscess=木籤造成口腔穿破性創傷併發腦膜炎及腦膿腫 |
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作者 | 張晉榮; 黃立同; 呂鎮中; 黃嵩雀; Chang, Chin-jung; Huang, Li-tung; Lui, Chun-chung; Huang, Song-chei; |
期刊 | 長庚醫學 |
出版日期 | 20020400 |
卷期 | 25:4 2002.04[民91.04] |
頁次 | 頁266-270 |
分類號 | 416.291 |
語文 | eng |
關鍵詞 | 創傷; 腦膜炎; 腦膿腫; 草綠色鏈球菌; Trauma; Meningitis; Brain abscess; Viridans streptococci; |
中文摘要 | 口腔外傷後引發腦膜炎是相當少見的。這名3歲大男童在一次意外的木籤穿刺口腔造成創傷之後第3天引發了腦膜炎而住院治療。改善出院後,卻在受傷後第30天(第1次出院後第16天)因頭痛及發燒回院求治而發現了腦膿腫。腦脊髓液培養發現草綠色鏈球菌,而腦部磁振照影加電腦斷層發現了多葉狀環狀腫塊。之後病人接受神經外科的引流手術以及持續8週的抗生素治療後獲得改善,而且在門診持續追蹤2年並無復發。病人因為這一個口腔穿破傷口而產生嚴重的併發症。我們認為這種因木籤在口內造成的傷害必須注意它潛在的危險性。 |
英文摘要 | Meningitis is rarely seen following oral injury. We describe a 3-year-old boy developing meningitis and brain abscess following a penetrating oral wooden stick injury. There was no cerebrospinal fluid rhinorrhea noted. A cerebrospinal fluid culture yielded viridans streptococcus. Brain magnetic resonance imaging and computed tomography revealed a multiloculated ring-enhancing mass. This patient underwent surgical drainage and completed 8-week antibiotic therapy. The patient demonstrated a late and dismal complication of a penetrating oral injury. At 2-year follow-up the patient was in good condition. A penetrating oral wooden stick inury should be regarded as potentially serious. |
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