Pneumocephalus caused by Enterobacter cloacae meningoencephalitis following cerebral infarction

IF 0.4 Q4 CLINICAL NEUROLOGY Neurology and Clinical Neuroscience Pub Date : 2024-07-14 DOI:10.1111/ncn3.12844
Mayumi Senda, Nozomi Harada, Konoka Kanda, T. Kako, Makoto Urano, Mizuki Ito
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Abstract

Pneumocephalus develops due to various reasons; however, pneumocephalus caused by factors other than head trauma is rare, and a few cases of infections have been reported. We encountered a case of pneumocephalus caused by Enterobacter cloacae meningoencephalitis following cerebral infarction. Although we could not perform cerebrospinal fluid analysis and culture, E. cloacae was cultured from blood. We conducted an autopsy and confirmed meningoencephalitis in the cerebral infarction lesion. Thus, we considered that E. cloacae meningoencephalitis caused the pneumocephalus. Because bacterial meningoencephalitis is a treatable disease, we should strictly consider that meningoencephalitis due to bacteria such as E. cloacae causes pneumocephalus.
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脑梗塞后由泄殖腔肠杆菌脑膜脑炎引起的脑积气
发生气胸的原因多种多样,但由头部外伤以外的其他因素引起的气胸并不多见,感染病例也有少数报道。我们遇到了一例脑梗塞后由泄殖腔肠杆菌脑膜脑炎引起的气胸。虽然我们无法进行脑脊液分析和培养,但从血液中培养出了泄殖腔肠杆菌。我们进行了尸检,证实脑梗塞病灶中存在脑膜脑炎。因此,我们认为泄殖腔杆菌脑膜脑炎是导致气胸的原因。因为细菌性脑膜脑炎是一种可以治疗的疾病,所以我们应该严格考虑是由泄殖腔杆菌等细菌引起的脑膜脑炎导致了肺炎性脑积水。
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CiteScore
0.80
自引率
0.00%
发文量
76
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