Gomez Adam J, Waggoner Jesse J, Itoh Megumi, Hollander Seth A, Gutierrez Kathleen M, Budvytiene Indre, Banaei Niaz, Pinsky Benjamin A
Department of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, California, USA.
J Clin Microbiol. 2015 Aug;53(8):2749-52. doi: 10.1128/JCM.00834-15. Epub 2015 May 20.
The diagnosis of encephalitis is particularly challenging in immunocompromised patients. We report here a case of fatal West Nile virus encephalitis confounded by the presence of budding yeast in the cerebrospinal fluid (CSF) from a patient who had undergone heart transplantation for dilated cardiomyopathy 11 months prior to presentation of neurologic symptoms.
对于免疫功能低下的患者，脑炎的诊断极具挑战性。我们在此报告一例致命的西尼罗河病毒脑炎病例，该病例因一名在出现神经症状前11个月因扩张型心肌病接受心脏移植的患者脑脊液（CSF）中存在出芽酵母而变得复杂。
