甄辨真正原发感染灶实现有效治疗脑脓肿1例报道并文献复习
Identifying the Real Primary Infection to Achieve an Effective Treatment of Brain Abscess in 1 Case and Literature Review
DOI: 10.12677/ACM.2023.134807, PDF,   
作者: 张文彬, 宋晓宇, 王广阔:青岛大学附属烟台毓璜顶医院耳鼻咽喉头颈外科,山东 烟台;任 超*, 宋西成*:青岛大学附属烟台毓璜顶医院耳鼻咽喉头颈外科,山东 烟台;山东省耳鼻喉疾病临床医学研究中心,山东 烟台
关键词: 脑脓肿鼻源性耳源性Brain Abscess Nasal Origin Ear Source
摘要: 临床上脑脓肿报道并不少见,但耳源性危险因素与鼻源性危险因素同时存在,鉴别真正感染灶并采取对症治疗,临床上却鲜有报道,故出现此种情况极易误诊。通过本例患者存在鼻窦炎病史,需要与耳源性脑脓肿相鉴别。可得出结论:临床上我们需要重视原发感染灶的诊断,以对症治疗。
Abstract: Clinical reports of brain abscess are not rare, but otogenic risk factors and nasogenic risk factors ex-ist simultaneously. However, few clinical reports have been reported to identify the true infection foci and take symptomatic treatment, so it is easy to misdiagnose this situation. This patient had a history of sinusitis, which needed to be distinguished from otogenic brain abscess. It can be con-cluded that we need to pay more attention to the diagnosis of primary infection in clinical practice for symptomatic treatment.
文章引用:张文彬, 宋晓宇, 王广阔, 任超, 宋西成. 甄辨真正原发感染灶实现有效治疗脑脓肿1例报道并文献复习[J]. 临床医学进展, 2023, 13(4): 5720-5725. https://doi.org/10.12677/ACM.2023.134807

参考文献

[1] Muzumdar, D., Jhawar, S. and Goel, A. (2011) Brain Abscess: An Overview. International Journal of Surgery, 9, 136-144. [Google Scholar] [CrossRef] [PubMed]
[2] Brouwer, M.C., Coutinho, J.M. and Van de Beek, D. (2014) Clinical Characteristics and Outcome of Brain Abscess: Systematic Review and Meta-Analysis. Neurology, 82, 806-813. [Google Scholar] [CrossRef
[3] Bodilsen, J., Dalager-Pedersen, M., Van de Beek, D., et al. (2020) Incidence and Mortality of Brain Abscess in Denmark: A Nationwide Population-Based Study. Clinical Microbiology and Infection, 26, 95-100. [Google Scholar] [CrossRef] [PubMed]
[4] 方洁明, 张灿崇. 真菌性鼻窦炎93例分析[J]. 中国当代医药, 2010, 17(29): 188.
[5] 董建明. 鼻内镜手术治疗真菌性鼻窦炎[J]. 中国耳鼻咽喉头颈外科, 2007(4): 182.
[6] Garcia-Cabrera, E., Fernandez-Hidalgo, N., Almirante, B., et al. (2013) Neurological Complications of Infec-tive Endocarditis: Risk Factors, Outcome, and Impact of Cardiac Surgery: A Multicenter Observational Study. Circula-tion, 127, 2272-2284. [Google Scholar] [CrossRef
[7] Kwak, M.K., Chung, J.H., Lee, S.H., et al. (2014) A Case of Otogenic Brain Abscess Causing Loss of Consciousness. Korean Journal of Audiolo-gy, 18, 76-79. [Google Scholar] [CrossRef] [PubMed]
[8] Szyfter, W., Kruk-Zagajewska, A., Borucki, L., et al. (2012) Evolution in Management of Otogenic Brain Abscess. Otology & Neurotology, 33, 393-395. [Google Scholar] [CrossRef
[9] 张秋贵, 孙彦, 朱富高. 耳源性脑脓肿105例临床分析[J]. 中华耳科学杂志, 2003(2): 40-42.
[10] 杨咏波. 颅内曲霉菌感染[J]. 国外医学神经病学神经外科学分册, 2004(1): 42-44.
[11] 王腾飞, 张威, 方振宇, 等. 手术联合抗真菌药物治疗肝移植术后颅内曲霉菌感染: 附1例报告并文献复习[J]. 实用器官移植电子杂志, 2015, 3(1): 35-39.