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旅行者在温哥华岛感染新型隐球菌性脑膜炎:病例报告。

Late presentation of Cryptococcus gattii meningitis in a traveller to Vancouver Island: A case report.

机构信息

Department of Clinical Neuroscience, Division of Neurosurgery.

出版信息

Can J Infect Dis Med Microbiol. 2007 May;18(3):197-9. doi: 10.1155/2007/319296.

Abstract

Since 1999, Cryptococcus gattii has been identified as a primary pathogen on Vancouver Island in British Columbia, and it has resulted in infection of both people and animals living in that area. A previously healthy 45-year-old female resident of Alberta developed C gattii infection 11 months after travelling to an endemic region of Vancouver Island. A case of an immunocompetent patient, with an atypically long incubation time, who presented with subacute meningitis secondary to disseminated pulmonary cryptococcosis is presented. The present report highlights the need for clinical vigilance in treating patients presenting with atypical pulmonary infections or meningitis who have been holiday travellers to endemic areas of Vancouver Island.

摘要

自 1999 年以来,荚膜组织胞浆菌已被确定为不列颠哥伦比亚省温哥华岛的主要病原体,导致该地区的人和动物感染。一位来自艾伯塔省的 45 岁健康女性在前往温哥华岛流行地区旅行 11 个月后发生荚膜组织胞浆菌感染。本文报告了一例免疫功能正常的患者,潜伏期异常长,表现为播散性肺部隐球菌病继发的亚急性脑膜炎。本报告强调了临床医生在治疗前往温哥华岛流行地区度假的患者时需要保持警惕,这些患者可能表现为不典型肺部感染或脑膜炎。

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Cryptococcosis in apparently immunocompetent patients.免疫功能看似正常的患者中的隐球菌病。
QJM. 2006 Mar;99(3):143-51. doi: 10.1093/qjmed/hcl014. Epub 2006 Feb 27.
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Pulmonary cryptococcosis: CT and pathologic findings.肺隐球菌病:CT与病理表现
J Comput Assist Tomogr. 2002 May-Jun;26(3):330-4. doi: 10.1097/00004728-200205000-00002.

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