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目的:了解隐源性脑脓肿的临床特点,总结诊疗经验,提高临床诊断的准确性,降低早期误诊率。方法:回顾分析1例经成功诊断和治疗的隐源性脑脓肿患者的临床表现、影像学特点,并结合文献对诊疗经验进行总结。结果:隐源性脑脓肿临床表现不典型,无明确感染途径,予经验性抗感染治疗,颅内病灶完全吸收,据此该病例临床诊断成立。结论:隐源性脑脓肿因感染源不明,起病隐匿,症状不典型易误诊,链球菌、葡萄球菌和厌氧菌是常见病原体。需与颅内结核瘤、脑寄生虫、脑胶质瘤、脑转移瘤等相鉴别。
Objective: To understand the clinical features of cryptogenic brain abscess, summarize experience in diagnosis and treatment, improve the accuracy of clinical diagnosis and reduce the rate of early misdiagnosis. Methods: One case of cryptogenic brain abscess who had been successfully diagnosed and treated was reviewed retrospectively. The clinical manifestations and imaging features of the patients were retrospectively analyzed. Results: The clinical manifestations of cryptogenic brain abscess are not typical, there is no clear route of infection, to empirical anti-infective treatment, complete absorption of intracranial lesions, thus the clinical diagnosis of the case was established. Conclusion: The cryptogenic brain abscess is a common pathogen because of unknown origin, occult onset, atypical misdiagnosis, and streptococcus, staphylococcus and anaerobic bacteria. Need with intracranial tuberculosis, brain parasites, glioma, brain metastases and other phase identification.