Kchir N, Bouratbine A, Boubaker S, Jemel H, Haouet S, Chatti S, Khaldi M, Zitouna M M
Laboratoire Central d'Anatomie Pathologique, Hôpital La Rabta, Tunisie.
Neurochirurgie. 1990;36(2):132-6.
The authors report a case of aspergillus granuloma of the brain, in a 28 year old woman, simulating a meningioma. Preoperative diagnosis of aspergilloma is difficult. However, it may be suspected in a patient who has associated pulmonary and paranasal sinus fungal infection. Peroperatively it may be confused with a brain tumour. The lesions usually are in the frontal lobes. Diagnosis can be made only by surgical biopsy with identification of fungal elements. Granuloma induce a good host response, and a high capacity to elaborate antibodies.
作者报告了一例28岁女性的脑曲霉肉芽肿病例，该病例酷似脑膜瘤。术前诊断曲霉肿很困难。然而，在伴有肺部和鼻窦真菌感染的患者中可能会怀疑有该病。在手术中它可能会与脑肿瘤混淆。病变通常位于额叶。只有通过手术活检并识别真菌成分才能做出诊断。肉芽肿引发良好的宿主反应，并且具有产生抗体的高能力。
