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題 名 | Acute Symptomatic Hydrocephalus in Listeria Monocytogenes Meningitis=單核球增多性李斯特氏菌腦膜炎併發急性水腦症 |
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作 者 | 楊俊杰; 葉昭宏; 蔡宗佳; 余文良; | 書刊名 | 微免與感染雜誌 |
卷 期 | 39:3 民95.06 |
頁 次 | 頁255-258 |
分類號 | 415.9313 |
關鍵詞 | 單核球增多性李斯特氏菌腦膜炎; 急性水腦症; Hydrocephalus; Listeria monocytogenes; Meningitis; |
語 文 | 英文(English) |
英文摘要 | Listeria monocytogenes meningitis appears to have increased in incidence. Although most reported cases of listeriosis involve the central nervous system, brain computed tomography is usually normal. Hydrocephalus is a common complication of tuberculous meningitis, which has a high prevalence in Taiwan. However, patients with L. monocytogenes meningitis rarely develop the complication of symptomatic hydrocephalus. We report a patient with L. monocytogenes meningitis who presented with persistent alteration of consciousness after appropriate antimicrobial therapy. Follow-up brain computed tomography revealed acute hydrocephalus. An Ommaya reservoir was implanted, and daily drainage of the cerebrospinal fluid was performed. The patient improved gradually and his mental status recovered completely 4 days later. This case should remind physicians to be aware of the possible occurrence of hydrocephalus in L. monocytogenes meningitis and that prompt cerebrospinal fluid drainage may achieve a good outcome. |
本系統中英文摘要資訊取自各篇刊載內容。