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系统性诺卡菌病病例中的脉络丛炎

Choroid plexitis in a case of systemic nocardiosis.

作者信息

Hagiwara Eugene, Nath Jaya

机构信息

SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.

出版信息

Emerg Radiol. 2007 Oct;14(5):337-43. doi: 10.1007/s10140-007-0604-2. Epub 2007 Apr 4.

Abstract

Although rare, primary choroid plexitis can occur as an early presentation of a central nervous system (CNS) infection most commonly with cryptococcosis, tuberculosis, and nocardiosis. In the appropriate clinical setting, an enlarged, intensely enhancing choroid plexus should raise suspicion for choroid plexitis. It is important to recognize this entity early as aggressive diagnostic and therapeutic intervention may be necessary. We review the existing literature and present a case of infectious choroid plexitis in a patient with systemic nocardiosis; computed tomography and magnetic resonance imaging demonstrated the characteristic findings of choroid plexitis, which later developed into a parenchymal abscess.

摘要

尽管原发性脉络丛炎较为罕见,但它可能作为中枢神经系统(CNS)感染的早期表现出现,最常见于隐球菌病、结核病和诺卡菌病。在适当的临床情况下,增大且强化明显的脉络丛应引起对脉络丛炎的怀疑。早期识别这一病症很重要,因为可能需要积极的诊断和治疗干预。我们回顾了现有文献,并报告了一例患有系统性诺卡菌病患者的感染性脉络丛炎病例;计算机断层扫描和磁共振成像显示了脉络丛炎的特征性表现,该病症后来发展为实质脓肿。

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