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溺水幸存者脑脓肿——10年随访病例报告并文献复习

brain abscesses in a patient after near-drowning - a case report with 10-year follow-up and a review of the literature.

作者信息

Signore Sandra C, Dohm Christoph P, Schütze Gunther, Bähr Mathias, Kermer Pawel

机构信息

Department of Neurology, University Hospital Göttingen, Robert-Koch-Straße 40, 37075 Göttingen, Germany.

Department of Neurorehabilitation, Krankenhaus St. Elisabeth, Lindenstraße 3 -7, 49401 Damme, Germany.

出版信息

Med Mycol Case Rep. 2017 Jun 10;17:17-19. doi: 10.1016/j.mmcr.2017.06.001. eCollection 2017 Sep.

Abstract

Scedosporium apiospermum is known to be a fungal pathogen affecting immunocompromised as well as non-immunodeficient patients. Although this fungus is found rarely, an infection can lead to severe and even fatal disease. Here, we describe the case of a 41-year-old female who developed multiple Scedosporium apiospermum brain abscesses after near-drowning with aspiration of contaminated mud and water. She showed various neurological symptoms. The patient recovered after removal of abscesses in combination with long-term antifungal treatment.

摘要

已知尖端赛多孢是一种可感染免疫功能低下以及非免疫缺陷患者的真菌病原体。虽然这种真菌较为罕见,但感染可导致严重甚至致命的疾病。在此,我们描述了一名41岁女性的病例,她在近乎溺水并吸入受污染的泥土和水后,出现了多发性尖端赛多孢脑脓肿。她表现出各种神经症状。该患者在脓肿切除并结合长期抗真菌治疗后康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9043/5470598/93f5cd7b8eb5/gr1.jpg

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