急性脑膜脑炎伴硬膜下脓肿与棘阿米巴在免疫功能正常的个体。

IF 0.9 Q2 MEDICINE, GENERAL & INTERNAL
Samik Pramanik, Sugata Dasgupta, Samarendranath Samui, Atanu Chandra, Francis J Kattady, Moloy Makhal
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引用次数: 0

摘要

棘阿米巴引起的脑膜脑炎是一种罕见且经常致命的疾病。我们描述了一个急性棘阿米巴脑膜脑炎合并硬膜下脓肿的病例,在一个以前健康的50岁男性,他表现为高热,颈部僵硬和左侧偏瘫。神经影像学显示右侧额-颞-顶叶区有硬膜下聚集,脑脊液分析显示中性粒细胞增多,滋养体形态与棘阿米巴原虫一致。患者接受硬膜下穿刺引流,并给予抗菌治疗和支持性护理。患者完全康复,2周后出院。该病例强调了将棘阿米巴视为脑膜脑炎潜在病原体的重要性,即使在免疫功能正常的个体中也是如此,并强调了早期诊断和及时干预对改善临床结果的关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute meningoencephalitis with subdural empyema associated with Acanthamoeba in an immunocompetent individual.

Acanthamoeba-induced meningoencephalitis is a rare and frequently fatal condition. We describe a case of acute Acanthamoeba meningoencephalitis complicated by subdural empyema in a previously healthy 50-year-old man who presented with high-grade fever, neck stiffness and left-sided hemiparesis. Neuroimaging revealed a subdural collection in the right fronto-temporo-parietal region, while cerebrospinal fluid analysis demonstrated neutrophilic pleocytosis with trophozoites morphologically consistent with Acanthamoeba species. The patient underwent burr-hole evacuation of the subdural collection and was managed with antimicrobial therapy and supportive care. The patient achieved complete recovery and was discharged after 2 weeks. This case underscores the importance of considering Acanthamoeba as a potential etiological agent in meningoencephalitis, even among immunocompetent individuals and highlights the critical role of early diagnosis and timely intervention in improving clinical outcomes.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
81
审稿时长
20 weeks
期刊介绍: The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.
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