Vibrio vulnificus에 의한 급성 세균성 뇌수막염 1예
A case of acute bacterial meningitis caused by Vibrio vulnificus
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초록
연부조직 감염증과 패혈증을 동반하는 V. vulnificus에 의한 감염증은 치사율이 높은 중증의 감염 질환으로 12시간에서 24시간의 잠복기 이후 수일 이내에 사망하는 빠른 임상경과를 가진다. 본 증례는 연부조직감염이 동반된 패혈증의 소견은 전혀 관찰되지 않았던 예로서 전형적인 뇌수막염의 임상적, 검사실 소견과 함께 혈액에서 V. vulnificus가 배양되어 급성 세균성 뇌수막염으로 진단 후 적합한 항생제 치료로 완치된 경우이다. 문헌고찰 결과 V. vulnificus에 의한 급성 세균성 뇌수막염은 매우 드물고, 본 증례처럼 후유증 없이 호전된 것 또한 매우 드물다고 하겠다.
Abstract
Vibrio vulnificus infects susceptible individuals who eat contaminated seafood or have an open wound that is exposed to seawater. The common symptoms are necrotizing wound infection, primary septicemia, and gastroenteritis. A 52-year-old man visited the emergency department complaining of drowsiness. Based on a cerebrospinal fluid analysis, he was diagnosed with acute bacterial meningitis. V. vulnificus was isolated from a blood culture. The patient responded to treatment with ceftriaxone and ciprofloxacin. We report a rare case of acute bacterial meningitis caused by V. vulnificus that was treated successfully.
참고문헌 (15)
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