辅助性皮质类固醇治疗球孢子菌性脑膜炎。
Adjunctive Corticosteroid Therapy in the Treatment of Coccidioidal Meningitis.
机构信息
Department of Medical Microbiology and Immunology.
Department of Internal Medicine, Division of Infectious Diseases, University of California, Davis Medical Center.
出版信息
Clin Infect Dis. 2017 Jul 15;65(2):338-341. doi: 10.1093/cid/cix318.
Abstract
Coccidioidal meningitis (CM) has high morbidity, and adjunctive measures to improve outcomes are needed. Using an established multicenter retrospective cohort study of CM (N = 221), we found that patients receiving adjunctive corticosteroids had a significant reduction in secondary cerebrovascular events (P = .0049). Those with CM-associated cerebrovascular events (8%) may benefit from short-term corticosteroids.
摘要
球孢子菌性脑膜炎（CM）发病率高，需要辅助措施来改善预后。本研究使用了一项已建立的多中心回顾性 CM 队列研究（N=221），发现接受辅助皮质类固醇治疗的患者继发性脑血管事件显著减少（P=0.0049）。伴有 CM 相关脑血管事件（8%）的患者可能从短期皮质类固醇治疗中获益。
相似文献
1
Adjunctive Corticosteroid Therapy in the Treatment of Coccidioidal Meningitis.辅助性皮质类固醇治疗球孢子菌性脑膜炎。
Clin Infect Dis. 2017 Jul 15;65(2):338-341. doi: 10.1093/cid/cix318.
2
The impact of early and brief corticosteroids on the clinical course of primary pulmonary coccidioidomycosis.早期和短期皮质类固醇对原发性肺球孢子菌病临床病程的影响。
J Infect. 2013 Aug;67(2):148-55. doi: 10.1016/j.jinf.2013.04.001. Epub 2013 Apr 6.
3
[Fluconazole in meningeal coccidioidomycosis].[氟康唑治疗脑膜球孢子菌病]
Rev Invest Clin. 1997 May-Jun;49(3):205-8.
4
Isavuconazole in the Treatment of Coccidioidal Meningitis.伊曲康唑治疗球孢子菌性脑膜炎。
Antimicrob Agents Chemother. 2019 Feb 26;63(3). doi: 10.1128/AAC.02232-18. Print 2019 Mar.
5
Posaconazole for chronic refractory coccidioidal meningitis.泊沙康唑治疗慢性难治性球孢子菌性脑膜炎。
Clin Infect Dis. 2011 Dec;53(12):1252-4. doi: 10.1093/cid/cir734. Epub 2011 Oct 10.
6
Liposomal Amphotericin B as Monotherapy in Relapsed Coccidioidal Meningitis.脂质体两性霉素 B 作为复发性球孢子菌性脑膜炎的单药治疗。
Mycopathologia. 2018 Jun;183(3):619-622. doi: 10.1007/s11046-017-0240-7. Epub 2018 Jan 16.
7
Coccidioidal meningitis in non-AIDS patients. A case series at a Mexican neurological referral center.非艾滋病患者的球孢子菌性脑膜炎。墨西哥神经转诊中心的病例系列。
Clin Neurol Neurosurg. 2020 Sep;196:106011. doi: 10.1016/j.clineuro.2020.106011. Epub 2020 Jun 15.
8
Asymptomatic Coccidioidal Meningitis Relapse: A Demon in Disguise.无症状球孢子菌性脑膜炎复发：伪装的恶魔。
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231175439. doi: 10.1177/23247096231175439.
9
Patient With a 42-Year History of Coccidioidal Meningitis.患有42年球孢子菌性脑膜炎病史的患者。
J Investig Med High Impact Case Rep. 2018 Dec 20;6:2324709618820047. doi: 10.1177/2324709618820047. eCollection 2018 Jan-Dec.
10
Coccidioidal meningitis.球孢子菌性脑膜炎
Clin Infect Dis. 2006 Jan 1;42(1):103-7. doi: 10.1086/497596. Epub 2005 Nov 29.
引用本文的文献
1
A Single-center Experience of Coccidioides Meningitis in Immunocompetent Patients: Case Series and Literature Review.免疫功能正常患者球孢子菌性脑膜炎的单中心经验：病例系列及文献综述
Open Forum Infect Dis. 2024 Oct 5;11(11):ofae590. doi: 10.1093/ofid/ofae590. eCollection 2024 Nov.
2
Pandora's Box: Disseminated Coccidioidomycosis Associated with Self-Medication with an Unregulated Potent Corticosteroid Acquired in Mexico.潘多拉魔盒：与在墨西哥获取的一种不受监管的强效皮质类固醇自我药疗相关的播散性球孢子菌病
Trop Med Infect Dis. 2021 Dec 5;6(4):207. doi: 10.3390/tropicalmed6040207.
3
Central Nervous System Infections Due to Coccidioidomycosis.球孢子菌病所致中枢神经系统感染
J Fungi (Basel). 2019 Jun 28;5(3):54. doi: 10.3390/jof5030054.
4
Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma.伴有球孢子瘤的基底球孢子菌性脑膜炎所致的渐强性短暂性脑缺血发作
J Investig Med High Impact Case Rep. 2018 Nov 19;6:2324709618813178. doi: 10.1177/2324709618813178. eCollection 2018 Jan-Dec.
5
Coccidioidal Meningitis: A Review on Diagnosis, Treatment, and Management of Complications.球孢子菌性脑膜炎：诊断、治疗和并发症管理的综述。
Curr Neurol Neurosci Rep. 2018 Mar 13;18(4):19. doi: 10.1007/s11910-018-0824-8.
6
Modulating host immune responses to fight invasive fungal infections.调节宿主免疫应答以对抗侵袭性真菌感染。
Curr Opin Microbiol. 2017 Dec;40:95-103. doi: 10.1016/j.mib.2017.10.018. Epub 2017 Nov 15.
7
Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia.一名白血病患者并发中枢神经系统血管炎的球孢子菌性脑膜炎。
Med Mycol Case Rep. 2017 Mar 23;16:8-11. doi: 10.1016/j.mmcr.2017.03.003. eCollection 2017 Jun.
本文引用的文献
1
2016 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for the Treatment of Coccidioidomycosis.2016 年美国传染病学会（IDSA）关于球孢子菌病治疗的临床实践指南。
Clin Infect Dis. 2016 Sep 15;63(6):e112-46. doi: 10.1093/cid/ciw360. Epub 2016 Jul 27.
2
Corticosteroids for managing tuberculous meningitis.用于治疗结核性脑膜炎的皮质类固醇。
Cochrane Database Syst Rev. 2016 Apr 28;4(4):CD002244. doi: 10.1002/14651858.CD002244.pub4.
3
Adjunctive Dexamethasone in HIV-Associated Cryptococcal Meningitis.辅助使用地塞米松治疗HIV相关隐球菌性脑膜炎
N Engl J Med. 2016 Feb 11;374(6):542-54. doi: 10.1056/NEJMoa1509024.
4
Coccidioidomycosis.球孢子菌病
Infect Dis Clin North Am. 2016 Mar;30(1):229-46. doi: 10.1016/j.idc.2015.10.008. Epub 2015 Dec 29.
5
Coccidioidomycosis: epidemiology.球孢子菌病：流行病学。
Clin Epidemiol. 2013 Jun 25;5:185-97. doi: 10.2147/CLEP.S34434. Print 2013.
6
Routine CSF analysis in coccidioidomycosis is not required.在球孢子菌病中，不需要进行常规的 CSF 分析。
PLoS One. 2013 May 22;8(5):e64249. doi: 10.1371/journal.pone.0064249. Print 2013.
7
Increase in reported coccidioidomycosis--United States, 1998-2011.报告的球孢子菌病病例增加——美国，1998-2011 年。
MMWR Morb Mortal Wkly Rep. 2013 Mar 29;62(12):217-21.
8
Pulmonary coccidioidomycosis.肺球孢子菌病。
Semin Respir Crit Care Med. 2011 Dec;32(6):754-63. doi: 10.1055/s-0031-1295723. Epub 2011 Dec 13.
9
Dexamethasone, cerebrospinal fluid matrix metalloproteinase concentrations and clinical outcomes in tuberculous meningitis.地塞米松、脑脊液基质金属蛋白酶浓度与结核性脑膜炎的临床转归。
PLoS One. 2009 Sep 30;4(9):e7277. doi: 10.1371/journal.pone.0007277.
10
Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group.欧洲癌症研究与治疗组织/侵袭性真菌感染合作组和美国国立过敏与传染病研究所真菌病研究组（EORTC/MSG）共识组对侵袭性真菌病的修订定义。
Clin Infect Dis. 2008 Jun 15;46(12):1813-21. doi: 10.1086/588660.
Zotero 插件