人感染猪链球菌致细菌性脑膜炎1例并文献复习

<正>人感染猪链球菌病是由猪链球菌感染人引起的一种人畜共患疾病,世界范围内多地有病例报道,在我国江苏和四川曾引起过暴发流行[1,2],我国其他很多省份也有散发病例。本文报道南京市1例人感染猪链球菌致细菌性脑膜炎病例,并复习相关文献。患者男,36岁,驾驶员,因"发热伴头痛3 d,加重伴意识障碍11 h"入院。患者于入院前3天发热,伴头痛,自认为"上感",自服"感冒药",效果欠佳。患者于入院前11 h头痛加重,伴恶心,呕吐数次胃内容物,且出现     

人猪链球菌感染致脑膜炎1例

本文报道一例猪链球菌感染所致脑膜炎病例。患者为屠宰工,主要症状为头痛、意识障碍,发热。因脑脊液中分离出猪链球菌而确诊。患者采用药敏试验敏感的万古霉素和青霉素治疗后痊愈出院。     

人感染猪链球菌病脑膜炎型1例护理体会

人感染猪链球菌病是一种人畜共患的急性细菌性传染病，系由多种不同群的链球菌感染引起不同的临床类型传染病总称。临床上分为普通型、休克型、混合型及脑膜炎型。其临床表现为畏寒发热、头昏头痛、全身不适、乏力、恶心呕吐、腹痛腹泻等，病情凶险，常为多器官功能损害，病死率高。2005年8月，我科收治人感染猪链球菌病脑膜炎型1例。经积极抢救治疗，     

人感染猪链球菌病暴发流行36例救治分析

目的总结四川省简阳市2005-07-16/07-26流行的人感染猪链球菌病突发感染36例的临床病情,为今后控制该疾病的流行和疫情的发生与扩散提供依据。方法依据流行病学和临床表现,采用血培养、脑脊液培养、脑脊液涂片等实验室方法培养鉴定猪链球菌。结果脑脊液培养阳性12例,脑脊液涂片阳性15例,血培养阳性9例。标本分离出猪链球菌Ⅱ型。对36例患者采用大剂量青霉素联合头孢曲松钠抗感染、抗休克、纠正4例DIC及防治多器官功能障碍。治愈33例,死亡3例,死亡率9·09%。结论猪链球菌Ⅱ型所致感染的人畜共患疾病有一定的流行、暴发规律,发病急、病情危重、死亡率高,早期诊断、早期合理治疗可降低死亡率。     

脑膜炎奈瑟氏球菌感染中毒症1例

患者,女,66岁。因发热3d伴全身散在紫癜、瘀斑半天入院。患者于3d前因疲劳、受凉后出现发热,体温最高40．6℃,发热前伴寒颤,不伴咳嗽、咳痰、恶心、呕吐、腹痛、腹泻及关节疼痛等不适。自服“日夜百服宁、扑热息痛”等药物,体温有所下降,但未降至正常范围。约6h后体温再次升高。2d前出现胃部不适、恶心、呕吐,呕吐物呈黄绿色胆汁样,     

脑膜炎败血伊丽莎白菌血行感染1例

病例:女,63岁,上海人,退休工人。因"反复呕吐伴发热3 d"入院。患者入院前3 d出现恶心、呕吐,伴发热、寒战,在外院对症处理后发热不退,体温达40℃,急诊入我院。病程中患者无双侧肢体乏力、抽搐,无感觉减退,无大、小便失禁,无胸闷、心悸,无气促,无腹痛、腹泻等。既往有脑囊肿手术史。否认其他基础疾病。     

脾切除术后隐球菌性脑膜炎二例报告并文献复习

<正>doi:10.3969/j. issn. 1674-3806.2022.12.171病例介绍病例1患者,男,64岁,因“头晕头痛24 d,发热10 d”于2021年11月10日就诊于三峡大学第一临床医学院。患者入院24 d前无诱因突发头痛,伴头晕。2021年11月1日出现发热,最高体温38.5℃,伴呕吐。于当地医院行腰椎穿刺:脑脊液压力210 mm H₂O,     

人感染猪链球菌病25例临床分析

人感染猪链球菌病是由猪链球菌侵入机体引起的人畜共患急性感染性疾病,亦可引起败血症、脑膜炎、心内膜炎、关节炎和肺炎,主要表现为发热和严重的毒血症状,最严重的类型为休克综合征,可迅速引起血液、心、肝、肾、肺等多脏器功能障碍(MODS)而导致死亡。早在20世纪70至80     

Titanium Allergy Caused by Dental Implants: A Systematic Literature Review and Case Report

(1) Background: Hypersensitivity reactions to metals may arise in predisposed patients chronically exposed to metallic materials, including dental implants made of titanium alloys. The purpose of this article was to systematically review titanium allergy manifestations in patients treated with dental implants and report a clinical case; (2) Methods: A systematic electronic search was performed for articles published in the English language until July 2021. The following eligibility criteria were adopted: (1) Population: individuals undergoing titanium and/or titanium alloy implant-supported rehabilitations; (2) Exposure: peri-implant soft tissue reactions attributable to implant insertion; (3) Outcome: evidence of titanium allergy, diagnostic methods, and forms of resolution; (3) Results: The included studies, in summary, presented evidence that titanium should not be considered an inert material, being able to trigger allergic reactions, and may be responsible for implant failure. A 55-year-old male patient received 3 implants in the posterior region of the left mandible and presented an epulis-like lesion developed from the peri-implant mucosa. The immunohistochemical analysis of the biopsy specimen confirmed the initial diagnosis of allergic reaction to titanium; (4) Conclusions: Although the evidence is weak, and titanium allergy has a low incidence, hypersensitivity reactions should not be underestimated. A rapid and conclusive diagnosis is mandatory to prevent further complications.     

Streptococcus oralis Meningitis with Gingival Bleeding in a Patient: A Case Report and Review of the Literature

An 81-year-old man with a history of gingival bleeding presented with a fever, headache, and drowsiness. His mouth and full dentures were unsanitary. Laboratory tests revealed Streptococcus oralis meningitis caused by odontogenic bacteremia. We reviewed eight reported cases, including the present case, because S. oralis meningitis is rare. Our review indicated that S. oralis meningitis needs to be considered when encountering cases of a fever, disturbance of consciousness, and headache with episodes of possible odontogenic bacteremia.     

First Reported Human Case of Spondylodiscitis by Staphylococcus condimenti: A Case Report and Literature Review

Staphylococcus condimenti is a Gram-positive coccus that was first isolated from soy sauce mash. Only four cases of human S. condimenti infections have been reported to date. We herein report the first case of spondylodiscitis caused by S. condimenti. A 72-year-old Japanese man complaining of lower back pain and numbness in his legs was diagnosed with spondylodiscitis. A computed tomography (CT)-guided biopsy was performed. A culture of the intravertebral disc aspirate yielded S. condimenti. The result was confirmed using gene sequencing methods. The patient was successfully treated without relapse. This case shows that S. condimenti can be pathogenic and cause invasive infection.     

Infrapopliteal Mycotic Aneurysm Caused by Endocarditis—Case Report and Literature Review

Infrapopliteal mycotic aneurysm resulting from endocarditis is rare, with few reported cases in the literature. We describe a case of ruptured mycotic aneurysm involving the infrapopliteal artery in a patient with aortic and mitral endocarditis. Duplex scanning revealed an oval-shaped mass at the infrapopliteal segment, consistent with sacular aneurysm. The aneurysm showed signs of rupture and pseudoaneurysm formation, which was confirmed by angio-MRI and arteriography. The patient was treated by endovascular procedure and remained asymptomatic at the 6-month follow-up. (Echocardiography 2010;27:77-79)     

High-output Heart Failure Caused by a Tumor-related Arteriovenous Fistula: A Case Report and Literature Review

High-output heart failure caused by a tumor-related arteriovenous fistula in adults is a rare clinical condition. We herein report a case of high-output heart failure caused by an arteriovenous fistula associated with renal cell carcinoma and a literature review of 29 published cases to date. Renal cell carcinoma seems to be the most common underlying tumor. For the diagnosis, right heart catheterization and enhanced computed tomography (CT) are considered useful. The removal of the underlying tumor and arteriovenous fistula is the best treatment for heart failure.     

Obstructive Jaundice Caused by Mucinous Cystic Tumor of Gallbladder: A Case Report and Literature Review

Mucinous cystic tumor of the gallbladder is an extremely rare benign tumor, with potential for malignant degeneration. Mucinous cystic tumors of the cystic duct are divided into mucinous cystadenoma and mucinous cystadenocarcinoma. Currently, cystadenoma is generally considered to be a precancerous lesion of cystadenocarcinoma. At present, there are few cases reported worldwide, and there are no relevant guidelines for diagnosis and treatment of this disease. This article presents the collected clinical data of a patient with mucinous cystic tumor of the gallbladder who was admitted to the First Affiliated Hospital of Hunan Normal University, with the characteristics of the disease summarized in combination with a focused literature review.     

H1N1流感疫苗接种后出现关节炎2例并文献复习

目的报告2例H1N1流感疫苗接种后出现关节炎患者的临床特点及遗传背景,推测遗传易感性对疫苗诱发类风湿关节炎的作用。方法报道2例H1N1流感疫苗接种后其关节炎的临床及组织相溶性抗原DR4(HLA-DR4)基因表达特点,并进行文献复习。采集患者外周静脉血进行常规检验和相关免疫学分析。应用免疫比浊法(immune turbidimetry)检测类风湿因子(RF),间接免疫荧光法(indirect immunoinfluscent assay,IFA)检测抗核周因子抗体(APF)/抗角蛋白抗体(AKA)和抗核抗体(ANA),酶联免疫吸附试验(enzyme linked immunosorbent assay,ELISA)检测抗环瓜氨酸肽抗体(抗CCP)。HLA-DR4的检测采用聚合酶链式反应(polymerase chain reaction,PCR),取外周抗凝血5ml,提取DNA,经过PCR扩增后进行琼脂糖凝胶电泳,检测是否有HLA-DR4条带。结果 2例中年女性患者在注射H1N1流感疫苗后1周内出现关节炎,其中1例症状为一过性,HLA-DR4阴性。另1例确诊为类风湿关节炎,需用改善病情药物治疗,HLA-DR4阳性。结论 2例患者的关节炎发生于H1N1流感疫苗接种后1周内,存在时间相关性。结合文献认为,H1N1疫苗总体安全性良好,部分患者在接种后可能会发生关节炎,遗传背景不同可能是部分患者发展为类风湿关节炎的原因。     

Case Report: Adult Nesidioblastosis A Case Report and Review of the Literature

George F. Laidlaw first described a pancreatic abnormality now known to be the most common cause of persistent hyperinsulinemic hypoglycemia in infants in 1938 (1, 2). The term he coined, nesidioblastosis, is derived from the Greek words for islets (nesidia) and germ (blastos) (3). It accurately describes the characteristic feature of nesidioblastosis, islet cells differentiating and budding from ductal epithelium. In adults, hyperinsulinemic hypoglycemia is rarely caused by nesidioblastosis and is usually caused by insulinoma or exogenous insulin treatment (4, 5). The first case series of adult nesidioblastosis was reported by Harness et al in 1981 (6). Since this case series of six patients, there have been only sporadic literature reports of adult nesidioblastosis, documenting fewer than 20 cases of adult nesidioblastosis over the past 15 years (3, 7-10). This paper presents an adult patient with hyperinsulinemic hypoglycemia due to nesidioblastosis and provides a guide to the diagnosis and treatment of this rare disorder in the adult population.     

Pituitary Lymphoma: A Case Report and Literature Review

We report the case of a B-cell type pituitary lymphoma in a 65 year-old male immunocompetent patient who presented with hypogonadotropic hypogonadism and central hypothyroidism and subsequently developed pulmonary lymphoma. Only three cases of pituitary lymphoma have been previously reported, one in a patient with acquired immunodeficiency syndrome, one case of T-cell lymphoma reported in the Japanese literature, and one case of B-cell lymphoma. The previously reported immunocompetent patients presented with signs and symptoms of optic chiasm compression as contrasted to our patients endocrinologic presentation. B-cell lymphoma of the pituitary gland is a exceedingly rare though distinct clinical entity.