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首页> 外文期刊>Journal of Ayub Medical College >COMMUNITY ACQUIRED METHICILLIN SENSITIVE STAPHYLOCCUS AUREUS CEREBRAL ABSCESS IN A PREVIOUSLY HEALTH GENTLEMAN MIMICKING SIGNS OF CAVERNOUS SINUS THROMBOSIS-A UNIQUE PRESENTATION
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COMMUNITY ACQUIRED METHICILLIN SENSITIVE STAPHYLOCCUS AUREUS CEREBRAL ABSCESS IN A PREVIOUSLY HEALTH GENTLEMAN MIMICKING SIGNS OF CAVERNOUS SINUS THROMBOSIS-A UNIQUE PRESENTATION

机译：先前曾有健康绅士症状的食蟹窦血栓形成的社区获得性甲氧西林敏感金黄色葡萄球菌脑吸收

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摘要

Central Nervous System (CNS) infections like meningitis and cerebral abscess caused by Staphylococcus aureus are usually seen in patients with neurosurgical interventions or immune compromised patients or patients with cardiac vegetation’s. They are extremely rare in healthy patients. We report a case of a 44 year old Indian gentleman who was perfectly healthy with no known co morbidities, which presented with fever, neck stiffness and altered mental status. He had fulminant staph bacteraemia (as evidenced by persistently positive blood cultures) with meningitis and cerebral abscess. Extensive search was made to find the source of infection, but it was inconclusive. Isolated CNS Methicillin Sensitive Staphylococcus aureus (MSSA) infection in an apparently healthy patient is very rare. This gentleman presented with altered mental status, asymmetrical exophthalmos and multiple cranial nerve palsies. This case highlights the challenge of making early diagnoses of a brain abscess; since it has symptomology mimicking cavernous sinus thrombosis .This is due to the involvement of the cerebellopontine angle and extensive brain oedema and oedema of the retro bulbar tissues. Keywords: Staphylococcus aureus , brain abscess, bacteraemia
机译：金黄色葡萄球菌引起的中枢神经系统（CNS）感染，例如脑膜炎和脑脓肿，通常发生在接受神经外科手术或免疫受损的患者或患有心脏植被的患者中。它们在健康患者中极为罕见。我们报道了一例44岁的印度绅士，他完全健康，没有已知的合并症，伴有发烧，脖子僵硬和精神状态改变。他患有严重的葡萄球菌菌血症（由持续阳性血液培养所证明），伴有脑膜炎和脑脓肿。进行了广泛的搜索以找到感染的来源，但尚无定论。在显然健康的患者中，分离出的CNS甲氧西林敏感金黄色葡萄球菌（MSSA）感染非常罕见。这位绅士出现了精神状态改变，眼球不对称和多发性颅神经麻痹。这个案例突出了对脑脓肿进行早期诊断的挑战。由于它具有模仿海绵窦血栓形成的症状，这是由于小脑桥脑角的累及后脑延髓组织广泛的脑水肿和水肿所致。关键词：金黄色葡萄球菌，脑脓肿，菌血症

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