人型支原体感染致硬膜下血肿:1例罕见病例报告OA

Mycoplasma hominis(M.hominis)central nervous system(CNS)infection is mainly manifested clinically as encephalitis,meningitis or brain abscess,but the manifestation of subdural hematoma is rare,which can be easily misdiagnosed.This paper reports a case of a 32-year-old female who developed fever,headache,and hemiplegia after cesarean section.Imaging examination revealed both subdural hematoma and meningoencephalitis.The diagnosis was confirmed through detection of M.hominis by metagenomic next-generation sequencing(mNGS)of cerebrospinal fluid(CSF).After targeted anti-infective treatment,the patient recovered.This case suggests that for infection cases presenting with subdural hematoma without obvious trauma,M.hominis should be as an important differential pathogen,and mNGS is a key technique for clarifying such diagnosis.