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
{"title":"菱形脑炎医源性恶化1例报告永远要小心使用皮质激素。","authors":"L Mandigers,&nbsp;J L Epker","doi":"10.1186/s12907-018-0083-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong><i>Listeria monocytogenes</i> is a bacterium present in some food products. It is rarely the cause of Rhombencephalitis in immunocompetent patients.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>Early adequate antibiotic treatment is essential in Listeria rhombencephalitis and corticosteroid therapy should be avoided when Listeriosis is suspected.</p>","PeriodicalId":35804,"journal":{"name":"BMC Clinical Pathology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2018-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12907-018-0083-2","citationCount":"1","resultStr":"{\"title\":\"A case report of iatrogenic deterioration of yet undiagnosed Rhombencephalitis; always be careful with corticoids.\",\"authors\":\"L Mandigers,&nbsp;J L Epker\",\"doi\":\"10.1186/s12907-018-0083-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong><i>Listeria monocytogenes</i> is a bacterium present in some food products. It is rarely the cause of Rhombencephalitis in immunocompetent patients.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>Early adequate antibiotic treatment is essential in Listeria rhombencephalitis and corticosteroid therapy should be avoided when Listeriosis is suspected.</p>\",\"PeriodicalId\":35804,\"journal\":{\"name\":\"BMC Clinical Pathology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-12-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1186/s12907-018-0083-2\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Clinical Pathology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s12907-018-0083-2\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2018/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Clinical Pathology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s12907-018-0083-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
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.

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

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

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.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
BMC Clinical Pathology
BMC Clinical Pathology Medicine-Pathology and Forensic Medicine
CiteScore
3.30
自引率
0.00%
发文量
0
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信