菱形脑炎医源性恶化1例报告永远要小心使用皮质激素。

Q2 Medicine

BMC Clinical Pathology Pub Date : 2018-12-27 eCollection Date: 2018-01-01 DOI:10.1186/s12907-018-0083-2

L Mandigers, J L Epker

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引用次数: 1

摘要

背景:单核增生李斯特菌是一种存在于某些食品中的细菌。在免疫功能正常的病人中，它很少是菱形脑炎的病因。病例介绍:我们报告一例免疫功能正常的患者，表现为进行性口腔周围麻木和头晕。尽管用抗血小板药物、抗病毒药物、抗生素和皮质类固醇进行了广泛的鉴别诊断，但患者病情仍严重恶化。最终，患者死于菱形脑炎李斯特菌，很可能是由于诊断较晚，同时较晚开始使用抗生素，同时皮质类固醇处方不合时宜和不适当。结论:早期适当的抗生素治疗是治疗菱形脑炎的关键，当怀疑李斯特菌病时应避免使用皮质类固醇治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

A case report of iatrogenic deterioration of yet undiagnosed Rhombencephalitis; always be careful with corticoids.

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A case report of iatrogenic deterioration of yet undiagnosed Rhombencephalitis; always be careful with corticoids.

Background: Listeria monocytogenes is a bacterium present in some food products. It is rarely the cause of Rhombencephalitis in immunocompetent patients.

Case presentation: We report a case of an immunocompetent patient, presenting with progressive perioral numbness and dizziness. Despite treatment with antiplatelet drugs, antiviral medication, antibiotics and corticosteroids for a wide differential diagnosis, the patient deteriorated tremendously. Eventually the patient died of Listeria rhombencephalitis, most likely due to the late diagnosis and concomitant late initiation of antibiotics combined with badly timed and inappropriate corticosteroid prescription.

Conclusion: Early adequate antibiotic treatment is essential in Listeria rhombencephalitis and corticosteroid therapy should be avoided when Listeriosis is suspected.

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来源期刊

BMC Clinical Pathology Medicine-Pathology and Forensic Medicine

CiteScore

3.30

自引率

0.00%

发文量

期刊介绍： BMC Clinical Pathology is an open access journal publishing original peer-reviewed research articles in all aspects of histopathology, haematology, clinical biochemistry, and medical microbiology (including virology, parasitology, and infection control). BMC Clinical Pathology (ISSN 1472-6890) is indexed/tracked/covered by PubMed, CAS, EMBASE, Scopus and Google Scholar.