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brain abscess caused by Streptococcus anginosus group:Three case reports

World Journal of Clinical Cases 2024年第17期12卷 3243-3252页

作者： Si-Di Tan Ming-Hui Li The 2^(nd)Clinical Medical College Zhejiang Chinese Medical UniversityHangzhou 310053Zhejiang ProvinceChina Department of Infection Shaoxing People's HospitalShaoxing 312000Zhejiang ProvinceChina

BACKGROUND This case series investigated the clinical manifestations,diagnoses,and treatment of cerebral abscesses caused by Streptococcus *** retrospectively analyzed the clinical characteristics and outcomes of three cases of cerebral abscesses caused by Streptococcus anginosus and conducted a comprehensive review of relevant *** SUMMARY Case 1 presented with a history of left otitis media and exhibited high fever,confusion,and vomiting as primary *** pus culture indicated a brain abscess caused by Streptococcus constellatus *** 2 experienced dizziness for two days as the primary *** pus culture suggested an intermediate streptococcal brain *** 3:Enhanced head magnetic resonance imaging(MRI)and diffusion-weighted imaging revealed occupancy of the left temporal lobe,initially suspected to be a metastatic ***,a postoperative pus culture confirmed the presence of a brain abscess caused by Streptococcus anginosus *** three cases presented in this case series were all patients with community-acquired brain abscesses resulting from angina caused by Streptococcus group *** three patients demonstrated sensitivity to penicillin,ceftriaxone,vancomycin,linezolid,chloramphenicol,and *** treatment was achieved through stereotaxic puncture,drainage,and ceftriaxone administration with a six-week course of *** Preoperative enhanced head MRI plays a critical role in distinguishing brain tumors from *** the correct early diagnostic methods for brain abscesses and providing timely intervention are very *** case series was in accordance with the CARE guidelines.

关键词： Streptococcus anginosus group Cerebral abscess early diagnosis of a brain abscess Plasma microbial cell-free DNA Next-generation sequencing Case report

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