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学科主题: 内分泌
题名:
糖尿病并发脑脓肿3例临床分析
其他题名: Clinical features of brain abscess complicated by diabetes
作者: 高洪伟; 洪天配; 赵淑清; 宋明
关键词: 糖尿病 ; 脑脓肿 ; Brain abscess
刊名: 中华糖尿病杂志
发表日期: 2005
DOI: 10.3321/j.issn:1006-6187.2005.06.015
卷: 13, 期:6, 页:437-438,441
收录类别: 中国科技核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的报告3例糖尿病合并脑脓肿病例,并分析其临床特点.方法提供并综合分析病史、临床表现、体格检查以及影像学检查结果.结果病例1为2型糖尿病(T2DM)合并脑卒中样发作的脑脓肿,初诊为脑囊虫病或脑血管疾病.病例2为T2DM并发脑脓肿患者,以癫痫发作为首发症状.病例3为T2DM合并小脑脓肿患者,初诊为小脑肿瘤.结论糖尿病合并脑脓肿的临床表现常不典型,多为隐源性脑脓肿,容易被误诊.对糖尿病患者出现的脑部占位病变,须除外脑脓肿;糖尿病患者出现的任何脑卒中都应和罕见的"脑卒中样"发病的脑脓肿进行鉴别. Objective To report 3 cases with brain abscess in patients with type 2 diabetes and to analyze their clinical features. Method Provided and analyzed were the case history, clinical manifestations, and the results of physical and imaging examinations. Results “Stroke-like” onset of cerebral abscess in a 48-year-old male with type 2 diabetes was initially misdiagnosed as “cerebral cysticercosis or cerebral vascular disease”.Epileptic onset was the first symptom of brain abscess in a 43-year-old female with type 2 diabetes.Otogenic cerebellar abscess which presented in a 34-year-old male with type 2 diabetes was initially misdiagnosed as “cerebellar tumor”. Conclusion The clinical characteristics of diabetes-complicated brain abscess are usually atypical and cryptogenic.Therefore, brain abscess in patients with type 2 diabetes is easily misdiagnosed.Brain abscess should be ruled out from masses of brain presented in patients with diabetes, and stroke-like onset of brain abscess should be differentiated from any stroke onset in type 2 diabetes patients.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/72762
Appears in Collections:北京大学第三临床医学院_内分泌科_期刊论文

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作者单位: 1.100083,北京大学第三医院内分泌科
2.100083,北京大学第三医院神经内科科
3.100083,北京大学第三医院神经外科科

Recommended Citation:
高洪伟,洪天配,赵淑清,等. 糖尿病并发脑脓肿3例临床分析[J]. 中华糖尿病杂志,2005,13(6):437-438,441.
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