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一名免疫功能正常的婴儿经手术治疗的多发性颅内真菌性脓肿。

Multiple intracranial fungal abscesses in an immunocompetent infant treated surgically.

作者信息

Khandelwal Ashutosh, Basheer Noufal, Mahapatra Ashok K

机构信息

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Pediatr Neurosci. 2014 May;9(2):159-61. doi: 10.4103/1817-1745.139332.

Abstract

Intracerebral abscess are rare in neonates and infants. We present a rare case of 4-month-old immunocompetent infant with multiple intracranial fungal abscess. Right frontoparietal craniotomy was done with excision of multicystic mass containing 200cc of dirty colored fluid. Biopsy and culture of abscess came as Aspergillus fumigates. Patient received parental amphotericin B. An immunocompetent infant with intracranial aspergillosis is rare. We advocate combination of surgical excision with parental amphotericin B as best way to achieve good result.

摘要

脑脓肿在新生儿和婴儿中较为罕见。我们报告了一例罕见病例,一名4个月大免疫功能正常的婴儿患有多发性颅内真菌性脓肿。进行了右额顶开颅手术,切除了含有200cc脏色液体的多囊性肿块。脓肿的活检和培养结果为烟曲霉菌。患者接受了静脉注射两性霉素B治疗。免疫功能正常的婴儿发生颅内曲霉菌病很罕见。我们主张手术切除与静脉注射两性霉素B联合使用是取得良好治疗效果的最佳方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e411/4166843/79e1b7779bf5/JPN-9-159-g001.jpg

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