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非肝硬化性门脉纤维化所致脾功能亢进患者发生机会性裴氏瓶霉脑脓肿——一种新的关联

Opportunistic Fonsecaea pedrosoi brain abscess in a patient with non-cirrhotic portal fibrosis-induced hypersplenism--a novel association.

作者信息

Madhugiri Venkatesh S, Singh Rakesh, Vyavahare Mukta, Vijayahari Ranjit, Sasidharan Gopalakrishnan M, Kuma V R Roopesh, Jacob Sajini, Verma Surendra K, Ananthakrishnan Ramesh, Yadav Awdhesh K, Gundamaneni Sudheer Kumar

机构信息

Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

出版信息

Br J Neurosurg. 2013 Oct;27(5):690-3. doi: 10.3109/02688697.2013.771732. Epub 2013 Mar 4.

Abstract

Non-cirrhotic portal fibrosis, a common cause of splenomegaly in tropical countries, can lead to hypersplenism and pancytopenia. Hypersplenism in this setting has not been associated with opportunistic infections. We describe a patient with hypersplenism secondary to non-cirrhotic portal fibrosis who developed a Fonsecaea pedrosoi brain abscess and succumbed to the illness despite aggressive management.

摘要

非肝硬化性门脉纤维化是热带国家脾肿大的常见原因,可导致脾功能亢进和全血细胞减少。在这种情况下,脾功能亢进与机会性感染无关。我们描述了一名继发于非肝硬化性门脉纤维化的脾功能亢进患者,该患者发生了佩德罗分支孢子菌脑脓肿,尽管采取了积极治疗仍因病死亡。

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