系统性红斑狼疮并发脑脓肿1例并文献复习

Brain disorders (Amsterdam, Netherlands) Pub Date : 2025-06-04 DOI:10.1016/j.dscb.2025.100247

Peijing Li , Cuiping Li , Xipeng Xu

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引用次数: 0

摘要

系统性红斑狼疮（SLE）并发脑脓肿是致命的。在这篇文章中，我们报告了一位58岁的女性，她以1周的头痛史和3天的颅内占位性病变史来到神经外科。颅磁振造影显示右额叶异常信号影，怀疑为脑脓肿及神经胶质瘤疝。右侧额部脓肿引流，随后脓液涂片发现葡萄球菌。与狼疮脑炎相比，该病例在诊断和治疗方法上都有显著的改善，显著改善了脑脓肿的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Systemic lupus erythematosus complicated by brain abscess: A case report and literature review

Systemic lupus erythematosus (SLE) complicated by brain abscess is fatal. In this article, we present a 58-year-old woman who presented to the neurosurgery department with a 1-week history of headache and 3-day history of intracranial space-occupying lesions. Cranial magnetic resonance (MR) enhancement imaging revealed abnormal signal shadowing in the right frontal lobe, raising suspicion for brain abscess and gliotic herniation. A right frontal abscess was drained, and a subsequent pus smear identified Staphylococcus. The case illustrate significant enhancements in both diagnostic and therapeutic approaches, markedly improving the management of brain abscesses compared to lupus encephalitis.

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来源期刊

Brain disorders (Amsterdam, Netherlands) Neurology, Clinical Neurology

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

51 days