Grosse P, Tintelnot K, Söllner O, Schmitz B
Department of Neurology, Charité, Campus Virchow-Klinikum, Humboldt-University, Augustenburger Platz 1, 13353 Berlin, Germany.
J Neurol Neurosurg Psychiatry. 2001 Jan;70(1):113-6. doi: 10.1136/jnnp.70.1.113.
A 24 year old immunocompetent German resident is described who developed multifocal encephalomyelitis due to infection with Cryptococcus neoformans var gatti, commonly considered a disease of tropical regions. In the light of current knowledge on the epidemiology of C neoformans var gatti and the travel history of the patient it is assumed that the infection was acquired outside Europe. As exclusive intramedullary involvement is an outstandingly rare manifestation in spinal cryptococcosis, the particular diagnostic procedure and the therapeutic strategies are discussed
本文描述了一名24岁免疫功能正常的德国居民，他因感染新型隐球菌变种加蒂而患上多灶性脑脊髓炎，新型隐球菌变种加蒂通常被认为是一种热带地区疾病。根据目前关于新型隐球菌变种加蒂流行病学的知识以及患者的旅行史，推测感染是在欧洲以外地区获得的。由于单纯髓内受累在脊髓隐球菌病中是一种极其罕见的表现，因此讨论了特殊的诊断方法和治疗策略。
