Pseudomonas aeruginosa meningitis following head injury after cochlear implantation: A case report

Pseudomonas aeruginosa meningitis following head injury after cochlear implantation: A case report
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人工耳蜗植入后头部受伤后发生铜绿假单胞菌脑膜炎:一例报告

DOI:
10.1177/2058739220966479
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发表时间:
2020-10
影响因子:
0.7
通讯作者:
Ningyu Wang
Ningyu Wang
中科院分区:
医学4区
文献类型:
--
作者:
Zhanfeng Yan;Pengpeng Hao;Xiaohui Wen;Jinfeng Liu;Jinsheng Dai;Keli Cao;Juan Zhang;Ningyu Wang

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细菌性脑膜炎在植入人工耳蜗的儿童中是一种罕见的事件。1例7岁儿童,6年前接受右耳人工耳蜗植入术(CI),以间歇性发热、头痛6个月为主诉入院。怀疑髋关节植入物感染。行右侧人工耳蜗植入体取出和中耳探查术。术后脑脊液、人工耳蜗植入体及植入电极细菌培养均为铜绿假单胞菌。患儿术后2周内使用美罗培南控制体温,头痛、腹痛等症状消失。随访20个月,患儿无任何不适。总之,我们报告了一个儿童谁发展绿脓杆菌脑膜炎后,脑梗死后头部受伤。这一案例对临床医生有一定的警示作用。
Bacterial meningitis is a rare event in children with cochlear implants. A 7-year-old child who underwent cochlear implantation (CI) for the right ear 6 years ago was admitted to our hospital with the chief complaint of intermittent fever and headache for 6 months. Cochlear implant infection was suspected. The right cochlear implant removal and middle ear exploration were performed. Postoperatively, the bacterial cultures of cerebrospinal fluid (CSF), cochlear implant and inserting electrodes all suggested Pseudomonas aeruginosa. The body temperature of the child was controlled within 2 weeks after the operation by using meropenem, and other symptoms like headache and abdominal pain disappeared. During 20-month follow-up visit, the child did not suffer any discomforts. In conclusion, we reported a child who developed Pseudomonas aeruginosa meningitis following head injury after CI. This case should serve as a reminder for clinical doctors.
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