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Case No. 682
2024-03-01~2024-03-31
출제자 : 이지영
Hit : 478
| Period | 2024-03-01~2024-03-31 |
|---|---|
| Diagnosis | Listeria brain abscess |
| Gender |
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| Age | 45 |
| Clinical information | C.C) dysarthria HTN, chronic kidney disease 로 kidney transplantation 받은 hx. 가 있음 세번째그림은 50일 FU사진임 |
| Discussion | Listeria monocytogenes; gram-positive bacteria food-borne infection Patient at risk; impaired cell-mediated immunity, newborns, immunosuppressants, and the elderly Imaging Findings: “tunnel-sign” or “worm-like” appearance ; axonal invasion as the pathological substrate of the characteristic multi-tubular appearance of listeria brain predilection for the dorsal brain stem and cerebellum Meningitis, cerebritis, and abscesses Treatment – antibiotics (ampicillin, cefotaxime, and gentamicin) |
| Correct answer |
Correct Answer
Semi-Correct Answer |