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Granulomatous amebic encephalitis in a child with acute lymphoblastic leukemia successfully treated with multimodal antimicrobial therapy and hyperbaric oxygen.儿童急性淋巴细胞白血病合并肉芽肿性阿米巴脑炎经多模式抗菌治疗和高压氧治疗成功治愈。
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本文引用的文献

1
Management of brain abscesses in children treated for acute lymphoblastic leukemia.急性淋巴细胞白血病患儿脑脓肿的管理
Pediatr Blood Cancer. 2009 Mar;52(3):408-11. doi: 10.1002/pbc.21814.
2
Acanthamoeba infection in a patient with chronic graft-versus-host disease occurring during treatment with voriconazole.一名患有慢性移植物抗宿主病的患者在伏立康唑治疗期间发生棘阿米巴感染。
Transpl Infect Dis. 2008 Dec;10(6):437-41. doi: 10.1111/j.1399-3062.2008.00335.x. Epub 2008 Aug 13.
3
Cure of Acanthamoeba cerebral abscess in a liver transplant patient.肝移植患者棘阿米巴脑脓肿的治愈
Liver Transpl. 2008 Mar;14(3):308-12. doi: 10.1002/lt.21409.
4
Successful treatment of acanthamoeba meningoencephalitis during induction therapy of childhood acute lymphoblastic leukemia.儿童急性淋巴细胞白血病诱导治疗期间棘阿米巴脑膜脑炎的成功治疗。
Pediatr Blood Cancer. 2008 Jun;50(6):1292-3. doi: 10.1002/pbc.21477.
5
Fatal granulomatous Acanthamoeba encephalitis mimicking a stroke, diagnosed by correlation of results of sequential magnetic resonance imaging, biopsy, in vitro culture, immunofluorescence analysis, and molecular analysis.通过连续磁共振成像、活检、体外培养、免疫荧光分析和分子分析结果的相互关联诊断出的酷似中风的致命性肉芽肿性棘阿米巴脑炎。
J Clin Microbiol. 2006 Nov;44(11):4265-9. doi: 10.1128/JCM.00649-06. Epub 2006 Sep 20.
6
Early diagnosis of Acanthamoeba infection during routine cytological examination of cerebrospinal fluid.在脑脊液常规细胞学检查期间对棘阿米巴感染进行早期诊断。
J Clin Microbiol. 2006 May;44(5):1903-4. doi: 10.1128/JCM.44.5.1903-1904.2006.
7
Hyperbaric oxygen therapy for the treatment of brain abscess in children.高压氧疗法治疗儿童脑脓肿
Childs Nerv Syst. 2006 Jan;22(1):38-42. doi: 10.1007/s00381-005-1147-z. Epub 2005 May 5.
8
Opportunistic amoebae: challenges in prophylaxis and treatment.机会性变形虫:预防与治疗中的挑战
Drug Resist Updat. 2004 Feb;7(1):41-51. doi: 10.1016/j.drup.2004.01.002.
9
Acanthamoeba castellani encephalitis following partially mismatched related donor peripheral stem cell transplantation.部分匹配的相关供体外周干细胞移植后发生卡氏棘阿米巴脑炎。
Transpl Infect Dis. 2003 Dec;5(4):191-4. doi: 10.1111/j.1399-3062.2003.00029.x.
10
Acanthamoeba spp. as agents of disease in humans.棘阿米巴属作为人类疾病的病原体。
Clin Microbiol Rev. 2003 Apr;16(2):273-307. doi: 10.1128/CMR.16.2.273-307.2003.

儿童急性淋巴细胞白血病合并肉芽肿性阿米巴脑炎经多模式抗菌治疗和高压氧治疗成功治愈。

Granulomatous amebic encephalitis in a child with acute lymphoblastic leukemia successfully treated with multimodal antimicrobial therapy and hyperbaric oxygen.

机构信息

Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Auenbruggerplatz 30, 8036 Graz, Austria.

出版信息

J Clin Microbiol. 2011 Jan;49(1):446-8. doi: 10.1128/JCM.01456-10. Epub 2010 Nov 17.

DOI:10.1128/JCM.01456-10
PMID:21084511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3020488/
Abstract

Acanthamoeba is the causative agent of granulomatous amebic encephalitis, a rare and usually fatal disease. We report a child with acute lymphoblastic leukemia who developed brain abscesses caused by Acanthamoeba during induction therapy. Multimodal antimicrobial chemotherapy and hyperbaric oxygen therapy resulted in complete resolution of symptoms and of pathology as seen by magnetic resonance imaging.

摘要

棘阿米巴是肉芽肿性阿米巴脑炎的病原体,这是一种罕见且通常致命的疾病。我们报告了一例在诱导治疗期间发生棘阿米巴引起的脑脓肿的急性淋巴细胞白血病患儿。多模式抗菌化疗和高压氧治疗导致症状和磁共振成像所见的病理学完全缓解。