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新型隐球菌性脑膜炎的诊断与治疗方法。

New approaches to the diagnosis and treatment of cryptococcal meningitis.

机构信息

Department of Ragon Institute of MGH, MIT and Harvard, Medicine Harvard Medical School, Boston, Massachusetts.

Department of Medicine, Parirenyatwa Hospital Family Care Centre, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe.

出版信息

Semin Neurol. 2014 Feb;34(1):47-60. doi: 10.1055/s-0034-1372342. Epub 2014 Apr 8.

Abstract

Cryptococcal meningitis remains one of the leading causes of morbidity and mortality among immunosuppressed individuals, particularly those with advanced acquired immunodeficiency syndrome. The greatest burden of disease is in sub-Saharan Africa and Asia where there is limited access to diagnostics and treatment for the disease. The authors review the available tools for diagnosing cryptococcal meningitis and review treatment for cryptococcal meningitis, highlighting the evidence behind current treatment guidelines.

摘要

隐球菌性脑膜炎仍然是免疫抑制个体发病率和死亡率的主要原因之一,尤其是那些患有晚期获得性免疫缺陷综合征的个体。该病在撒哈拉以南非洲和亚洲的负担最大,这些地区获得该病诊断和治疗的机会有限。作者回顾了现有的用于诊断隐球菌性脑膜炎的工具,并回顾了隐球菌性脑膜炎的治疗方法,强调了现有治疗指南背后的证据。

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