印度南部儿童的类神经瘤病：诊断和治疗见解

IF 2.1 4区医学 Q3 INFECTIOUS DISEASES

Diagnostic microbiology and infectious disease Pub Date : 2025-05-02 DOI:10.1016/j.diagmicrobio.2025.116885

Pratibha Bhat U, Asem Ali Ashraf, Anulekha Roy

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引用次数: 0

摘要

类鼻疽是由假假伯克霍尔德菌引起的，临床表现多样。这是一个1岁女孩的病例，表现为发烧和感觉改变。MRI显示有脑干脑炎的征象。脑脊液分析证实存在假马利氏伯克氏菌。治疗包括两期抗生素治疗：急性期和根除期，经过14天的适当抗生素治疗，患者病情稳定并出院，并接受随访护理。该病例强调了认识到小儿患者中罕见的神经类鼻疽病的神经学表现的重要性，强调了及时诊断和治疗以改善预后的必要性。

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Neuromelioidosis in a child from Southern India: Diagnostic and therapeutic insights

Melioidosis, caused by Burkholderia pseudomallei, presents with diverse clinical manifestations. This is a case of a 1-year-old female presenting with fever, and altered sensorium. Her MRI had revealed features suggestive of brainstem encephalitis. Cerebrospinal fluid analysis confirmed the presence of Burkholderia pseudomallei. Treatment involved a two-phase antibiotic therapy: the acute phase and the eradication phase, and after 14 days of appropriate antibiotics, the patient stabilized and was discharged with follow-up care. This case underscores the importance of recognizing the rare neurological presentation of neuromelioidosis in pediatric patients, emphasizing the need for timely diagnosis and treatment to improve outcomes.

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来源期刊

Diagnostic microbiology and infectious disease 医学-传染病学

CiteScore

5.30

自引率

3.40%

发文量

149

审稿时长

56 days

期刊介绍： Diagnostic Microbiology and Infectious Disease keeps you informed of the latest developments in clinical microbiology and the diagnosis and treatment of infectious diseases. Packed with rigorously peer-reviewed articles and studies in bacteriology, immunology, immunoserology, infectious diseases, mycology, parasitology, and virology, the journal examines new procedures, unusual cases, controversial issues, and important new literature. Diagnostic Microbiology and Infectious Disease distinguished independent editorial board, consisting of experts from many medical specialties, ensures you extensive and authoritative coverage.