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題 名 | Cavernous Sinus Thrombosis and Cerbral Infarction Caused by Fusobacterium Nucleatum Infection=Fusobacterium Nucleatum菌感染後併發腦靜脈竇栓塞及腦梗塞 |
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作 者 | 張振聲; 劉嘉為; 黃錦章; 呂鎮中; 張谷州; | 書刊名 | 長庚醫學 |
卷 期 | 27:6 2004.06[民93.06] |
頁 次 | 頁459-463 |
分類號 | 415.823 |
關鍵詞 | 感染; 腦靜脈竇栓塞; 腦梗塞; 病因; Cerebral infarction; Etiology; Infection; Fusobacterium nucleatum; Cavernous sinus thrombosis; |
語 文 | 英文(English) |
中文摘要 | 本文報告一少見因fusobacterial感染合併續發性顱內侵襲之一病例。並且先後併發腦靜脈竇栓塞、腦膜炎及腦血管阻塞性中風,此感染中樞神經系統及其疾病過程甚為罕見。該病例為一63歲女性,顧牙後數週內先後併發鼻竇炎、腦靜脈竇棋塞及腦膜炎。腦脊髓液檢查顯示為化膿性菌感染;厭氧性微生物培養發現為Fusobacterium nucleatum菌。雖病人自就醫初過程,並建議除經驗抗生素治療外之積極治療。 |
英文摘要 | We report an unusual case of fusobacterial infection with secondary intractranial invasion. The condition was complicated by a cavernous sinus thrombosis and ischemic stroke. The patient was a 63-year-old woman with no history of systemic disease who had undergone a tooth extraction before the onset of symptoms. She initially suffered from spheno-maxillary sinusitis and a cavernous sinus thrombosis, and subsequently developed meningitis. Cerebrospinal fluid examination suggested a pyogenic infection. Anaerobic culture revealed Fusobacterium nucleatum. However, despite immediate antibiotic therapy, her condition remained unstable over the next few days, and she eventually developed an ischemic stroke. We describe our experience in the management of this case of anaerobic meningitis and the unusual complication of ischemic stroke; this case suggests that more aggressive therapy in addition to empirical antibiotics may be warranted. |
本系統中英文摘要資訊取自各篇刊載內容。