一名HIV阳性患者发生的马杜拉放线菌脑脓肿。
Nocardia farcinica brain abscesses in an HIV-positive patient.
作者信息
Goodall L, Faggian F
机构信息
Department of Genitourinary Medicine, Edinburgh, UK.
出版信息
Int J STD AIDS. 2012 Jun;23(6):451-2. doi: 10.1258/ijsa.2009.009368.
PMID:22807545
Abstract
We present a case of Nocardia farcinica brain abscesses in an HIV-positive patient, initially misdiagnosed as cerebral toxoplasmosis. The correct diagnosis was eventually confirmed by brain biopsy. It is debatable as to whether surgical intervention is necessary for diagnosis and treatment of Nocardia abscesses. This case highlights the importance of early neurosurgical input and biopsy to aid correct and timely diagnosis.
摘要
我们报告一例HIV阳性患者发生的豚鼠耳炎诺卡菌脑脓肿病例，该病例最初被误诊为脑弓形虫病。最终通过脑活检确诊。对于诺卡菌脓肿的诊断和治疗是否需要手术干预存在争议。该病例强调了早期神经外科介入和活检对于准确及时诊断的重要性。
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