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題 名 | Brain Abscess in Adult Cirrhotic Patients: Two Case Reports=成人肝硬化併發腦膿瘍--兩個病例報告 |
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作 者 | 鍾嘉勵; 劉安祥; 陳怡妤; 關皚麗; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 23:1 2007.01[民96.01] |
頁 次 | 頁34-39 |
分類號 | 415.534 |
關鍵詞 | 腦膿瘍; 肝硬化; 免疫缺失; 核磁共振光譜; Brain abscess; Cirrhosis; Immunodeficiency; Magnetic resonance spectroscopy; |
語 文 | 英文(English) |
中文摘要 | 肝硬化患者有較高的危險性發生細菌感染,例如菌血症、腦膜炎、肺炎、泌尿道感染以及自發性細菌性腹膜炎。這是依肝硬化嚴重度,造成免疫缺失所導致的。雖然肝硬化患者容易發生細菌感染,但是對於腦膿瘍,只有少數特定的病例有被報告過。而在這些肝硬化患者中,腦膿瘍剛開始的臨床表現可能不是發燒或白血球上升,而是局部的神經學上缺失。此外,因考量血腦障壁的穿透性,術後抗生素的選擇也和其他中樞神經系統之外的感染有很大的差異。我們將探討兩個在肝硬化患者併發腦膿瘍的病例,並特別探討他們的臨床表現、核磁共振光譜分析、細菌培養結果、治療策略以及預後。 |
英文摘要 | Patients who have liver cirrhosis are at increased risk of bacterial infections, such as bacteremia, meningitis, pneumonia, urinary tract infections, and spontaneous bacterial peritonitis, due to immunodeficiency associated with the severity of the cirrhosis. Although bacterial infections are frequent in cirrhotic patients, only isolated cases of brain abscess have been reported. In these cirrhotic patients, the initial presentation of brain abscess may not be fever or leukocytosis, but focal neurologic deficits. In addition, for consideration of blood–brain barrier penetration, the anti-biotic choice postoperatively is also quite different from other infections outside the central nervous system. We will discuss two cases of brain abscess in cirrhotic patients with special emphasis on the clinical presentation, magnetic resonance spectroscopic findings, organism encountered, therapeutic strategy, and prognosis. |
本系統中英文摘要資訊取自各篇刊載內容。