지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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We report an adult case of pontine infarct complicated by a community-acquired pneumococcal ventriculitis. An 85-year-old woman was referred to the hospital with left-sided weakness and persistent fever despite antibiotics therapy. Diffusion weight magnetic resonance image revealed high signal intensity on the right paramedian pontine and the occipital horn of the lateral ventricle. In the cerebrospinal fl uid (CSF) examination, white blood cell count was 2,720 /mm3, glucose level was 4 mg/ dL (simultaneous blood glucose level was 135 mg/dL), and CSF protein level was 2,025.4 mg/dL. On admission day 4, CSF culture showed Streptococcus pneumoniae. Despite continuous antibiotics treatment, she expired on admission day 7. In patients with pneumococcal ventriculitis, despite high mortality as in this case, early detection and treatment improve clinical outcome.
Also aggressive treatment (intraventricular antibiotics injection, and pus drainage) should be considered. (Korean J Stroke 2011;13:140-143)
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참고문헌 (9)
참고문헌 신청
Chan KH / 2005 / Cerebral infarcts complicating tuberculous meningitis / Cerebrovasc Dis 19 : 391 ~ 395
Durand ML / 1993 / Acute bacterial meningitis in adults. A review of 493 episodes / N Engl J Med 328 : 21 ~ 28
Forderreuther S / 1992 / Abnormalities of cerebral blood fl ow in the acute phase of bacterial meningitis in adults / J Neurol 239 : 431 ~ 436
Joshua ZW / 2007 / Retroperitoneal infection complicatedby bacterial meningitis and ventriculitis with secondary brainstem infarction / Neurocrit Care 6 : 192 ~ 194
Lee SB / 2005 / Brainstem infarcts as an early manifestation of Streptococcus anginosus meningitis / Neurocrit Care 3 : 157 ~ 160
Durand ML / 1993 / Acute bacterial meningitis in adults. A review of 493 episodes / N Engl J Med 328 : 21 ~ 28
Forderreuther S / 1992 / Abnormalities of cerebral blood fl ow in the acute phase of bacterial meningitis in adults / J Neurol 239 : 431 ~ 436
Joshua ZW / 2007 / Retroperitoneal infection complicatedby bacterial meningitis and ventriculitis with secondary brainstem infarction / Neurocrit Care 6 : 192 ~ 194
Lee SB / 2005 / Brainstem infarcts as an early manifestation of Streptococcus anginosus meningitis / Neurocrit Care 3 : 157 ~ 160
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