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A case of Gemella morbillorum sepsis complicated with subdural empyema and multiple brain abscesses

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Author:
No author available
Journal Title:
Chinese Journal of Clinical Infectious Diseases
Issue:
6
DOI:
10.3760/cma.j.issn.1674-2397.2020.06.012
Key Word:
麻疹孪生球菌;脓毒血症;硬膜下脓肿;脑脓肿;治疗;Gemella morbillorum;Sepsis;Subdural empyema;Multiple brain abscesses;Treatment

Abstract: 麻疹孪生球菌是一种革兰阳性球菌,是寄生在人类口咽、上呼吸道、胃肠道、女性生殖道的条件致病菌,当机体免疫力下降时感染风险明显增加,易引起感染性心内膜炎、脑膜炎、心包炎、脓肿、败血症等多种疾病。现报道1例20岁男性患者无明显诱因出现发热伴乏力和意识不清,血培养和脑脊液高通量测序均为麻疹孪生球菌,头颅CT提示硬膜下脓肿和多发性脑脓肿,经脓肿穿刺引流和使用敏感抗生素治疗后,症状缓解出院。在6个月随访中未再发热,最终治愈。

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