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肾病综合征并发单核细胞增生性李斯特菌脑膜脑炎一例
引用本文:周环,许倬,刘建军,傅求真. 肾病综合征并发单核细胞增生性李斯特菌脑膜脑炎一例[J]. 中华实验和临床感染病杂志(电子版), 2019, 13(5): 436-439. DOI: 10.3877/cma.j.issn.1674-1358.2019.05.016
作者姓名:周环  许倬  刘建军  傅求真
作者单位:1. 100088 北京,解放军火箭军特色医学中心医学影像科2. 100088 北京,解放军火箭军特色医学中心医学肾内科3. 100088 北京,解放军火箭军特色医学中心医学消化科4. 100088 北京,解放军火箭军特色医学中心医学干部病房
基金项目:北京市自然科学基金重点项目(No. 7161006)
摘    要:目的提高医务工作者对单核细胞增生性李斯特菌脑膜脑炎的认知。 方法报道2018年10月24日解放军火箭军特色医学中心医学收治的1例肾病综合征并发单核细胞增生性李斯特菌脑膜脑炎患者的诊疗过程,同时结合相关文献进行分析和复习。 结果该例25岁年轻男性肾病综合征合并单核细胞增生性李斯特菌脑膜脑炎患者,予以综合抗感染治疗及对症治疗后体温正常,李斯特菌病及脑膜脑炎病情好转后出院,后期随访疗效显著。 结论早期确诊及规范的抗菌药物治疗是控制单核细胞增生李斯特菌脑膜脑炎病情及预后的关键。

关 键 词:李斯特菌病  脑膜脑炎  肾病综合征  
收稿时间:2019-07-27

A case report of nephrotic syndrome complicated with Listeria monocytogenes meningoencephalitis
Huan Zhou,Zhuo Xu,Jianjun Liu,Qiuzhen Fu. A case report of nephrotic syndrome complicated with Listeria monocytogenes meningoencephalitis[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Version), 2019, 13(5): 436-439. DOI: 10.3877/cma.j.issn.1674-1358.2019.05.016
Authors:Huan Zhou  Zhuo Xu  Jianjun Liu  Qiuzhen Fu
Affiliation:1. Medical Imaging Department, PLA Rocket Force Characteristic Medical Center, 100088 Beijing, China2. Nephrology Department, PLA Rocket Force Characteristic Medical Center, 100088 Beijing, China3. Gastroenterology Department, PLA Rocket Force Characteristic Medical Center, 100088 Beijing, China4. Cadre Ward, PLA Rocket Force Characteristic Medical Center, 100088 Beijing, China
Abstract:ObjectiveTo improve the awareness of Listeria monocytogenes meningoencephalitis in clinical practice. MethodsThe diagnosis and treatment of a case with nephrotic syndrome complicated with Listeria monocytogenes meningoencephalitis collected from PLA Rocket Force Characteristic Medical Center at October 24th, 2018 were analyzed and relevant literature was reviewed. ResultsThe 25-year-old male patient with nephrotic syndrome complicated with Listeria monocytogenes meningoencephalitis was treated with comprehensive anti-infection therapy and symptomatic treatment. The temperature of the patient returned to normal, after the improvement of the Listeria state and meningoencephalitis, the patient was discharged from hospital, with good prognosis. ConclusionEarly diagnosis and standard antibiotic treatment are the key to the state and prognosis of Listeria monocytogenes meningoencephalitis.
Keywords:Listeria meningoencephalitis  Meningoencephalitis  Nephrotic syndrome  
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