Palo J, Haltia M, Uutela T
Eur Neurol. 1975;13(3):224-31. doi: 10.1159/000114678.
A case of cerebral aspergillosis in a 69-year-old diabetic man is reported. The disease, initially presenting as headache and vertigo, was caused by Aspergillus fumigatus. Seven CSF specimens were examined. The main findings included decreased glucose and increased protein concentrations, leukocyte reaction and one positive culture for A. fumigatus. Neuropathological examination revealed granulomatous leptomeningitis and typical fungal hyphae. The process probably lasted for more than 1 year and was an important contributing factor to two brain stem infarcts.
报告了一例69岁糖尿病男性的脑曲霉病病例。该疾病最初表现为头痛和眩晕，由烟曲霉引起。对七份脑脊液样本进行了检查。主要发现包括葡萄糖降低、蛋白质浓度升高、白细胞反应以及一次烟曲霉培养阳性。神经病理学检查显示肉芽肿性软脑膜炎和典型的真菌菌丝。病程可能持续了一年多，是导致两次脑干梗死的重要因素。
