[隐球菌性脑膜炎合并慢性淋巴细胞白血病：一例报告及文献复习]
[Cryptococcal meningitis associated with chronic lymphocytic leukemia: a case report. Review of the literature].
作者信息
Jégo P, Le Strat A, Camus C, Gatel A, Grosbois B, Leblay R
机构信息
Service de médecine interne, hôpital Sud, Rennes, France.
出版信息
Rev Med Interne. 2000 Jan;21(1):83-5. doi: 10.1016/s0248-8663(00)87232-x.
INTRODUCTION
The authors report the occurrence of a cryptococcal meningitis in a patient treated by corticosteroids and polychemotherapy for a chronic lymphocytic leukemia.
EXEGESIS
A 63-year-old man with chronic lymphocytic leukemia was sent to hospital because of impaired condition with fever. Neurological disorders appeared. Cryptococcal meningitis was diagnosed. Under treatment, the outcome was favorable.
CONCLUSION
This paper highlights the feature of this infection most likely underestimated in HIV-seronegative patients and the need to a priori consider this diagnosis.
引言
作者报告了一名接受皮质类固醇和多药化疗治疗慢性淋巴细胞白血病的患者发生隐球菌性脑膜炎的病例。
注释
一名63岁的慢性淋巴细胞白血病男性患者因病情恶化伴发热被送往医院。出现了神经系统疾病。诊断为隐球菌性脑膜炎。经过治疗，预后良好。
结论
本文强调了这种感染在HIV血清阴性患者中很可能被低估的特征，以及事先考虑这一诊断的必要性。
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