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一名患有肾病综合征的儿童因隐球菌性脑膜炎导致暴发性颅内高压。

Fulminant intracranial hypertension due to cryptococcal meningitis in a child with nephrotic syndrome.

作者信息

Nagotkar Leena, Shanbag Preeti, Mauskar Anupama, Zaki Syed Ahmed, Kumar Chaya A

机构信息

Department of Pediatrics and Microbiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.

出版信息

Indian J Crit Care Med. 2011 Jul;15(3):176-8. doi: 10.4103/0972-5229.84905.

DOI:10.4103/0972-5229.84905
PMID:22013311
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3190470/
Abstract

Cryptococcus neoformans has a worldwide distribution. Meningoencephalitis is the most common manifestation of cryptococcosis. The outcome of a patient with cryptococcal infection depends on the immune status of the host. Patients with nephrotic syndrome are particularly susceptible to cryptococcal infection not only due to innate changes in their immune system but also because of the immunosuppressive agents used in the treatment. We report an 8-year-old boy with nephrotic syndrome, who developed cryptococcal meningitis and died of fulminant intracranial hypertension.

摘要

新型隐球菌在全球范围内均有分布。脑膜脑炎是隐球菌病最常见的表现形式。隐球菌感染患者的预后取决于宿主的免疫状态。肾病综合征患者特别容易发生隐球菌感染,这不仅是由于其免疫系统的固有变化,还因为治疗中使用了免疫抑制剂。我们报告了一名8岁的肾病综合征男孩,他患上了隐球菌性脑膜炎,并死于暴发性颅内高压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2349/3190470/aea9ba777818/IJCCM-15-176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2349/3190470/aea9ba777818/IJCCM-15-176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2349/3190470/aea9ba777818/IJCCM-15-176-g001.jpg

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本文引用的文献

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Clinical practice guidelines for the management of cryptococcal disease: 2010 update by the infectious diseases society of america.《隐球菌病治疗指南:美国传染病学会 2010 年更新版》
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Disseminated cryptococcosis in a patient with nephrotic syndrome.一名肾病综合征患者的播散性隐球菌病。
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A case of necrotizing glomerulonephritis presenting with nephrotic syndrome associated with pulmonary cryptococcosis.
肾病综合征患者的隐球菌病:病例汇总分析
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Clin Infect Dis. 2002 Sep 15;35(6):769-72. doi: 10.1086/342299. Epub 2002 Aug 26.
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Epidemiology and host- and variety-dependent characteristics of infection due to Cryptococcus neoformans in Australia and New Zealand. Australasian Cryptococcal Study Group.澳大利亚和新西兰新型隐球菌感染的流行病学以及宿主和品种依赖性特征。澳大拉西亚隐球菌研究小组
Clin Infect Dis. 2000 Aug;31(2):499-508. doi: 10.1086/313992. Epub 2000 Sep 7.
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Diagnosis and management of increased intracranial pressure in patients with AIDS and cryptococcal meningitis. The NIAID Mycoses Study Group and AIDS Cooperative Treatment Groups.艾滋病合并隐球菌性脑膜炎患者颅内压升高的诊断与管理。美国国立过敏与传染病研究所真菌病研究组及艾滋病协作治疗组。
Clin Infect Dis. 2000 Jan;30(1):47-54. doi: 10.1086/313603.
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Clinical epidemiological study of 171 cases of cryptococcosis.171例隐球菌病的临床流行病学研究
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The immune system in minimal change nephrotic syndrome.微小病变型肾病综合征中的免疫系统。
Pediatr Nephrol. 1989 Jan;3(1):101-10. doi: 10.1007/BF00859637.
9
Elevated cerebrospinal fluid pressures in patients with cryptococcal meningitis and acquired immunodeficiency syndrome.隐球菌性脑膜炎和获得性免疫缺陷综合征患者的脑脊液压力升高。
Am J Med. 1991 Sep;91(3):267-72. doi: 10.1016/0002-9343(91)90126-i.