Chimowa Takondwa, King Isobel, Iroh Tam Pui-Ying, Gonzalez-Martinez Carmen
Department of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi.
Mulanje Mission Hospital, Mulanje, Malawi.
Malawi Med J. 2017 Dec;29(4):330-331. doi: 10.4314/mmj.v29i4.10.
An 8-year-old previously healthy female presented with a 3 weeks history of headache, neck stiffness, deafness, fever and vomiting and was diagnosed with cryptococcal meningitis. She had documented hearing loss and was referred to tertiary-level care after treatment with fluconazole did not improve her neurological signs and symptoms. Her symptoms slowly resolved over two months. This case report illustrates the occurrence of cryptococcal meningitis in a non-immunocompromised patient, as well as the challenges of providing effective care in resource-limited settings.
一名8岁既往健康的女性，出现了为期3周的头痛、颈部僵硬、耳聋、发热和呕吐症状，被诊断为隐球菌性脑膜炎。她有听力损失记录，在使用氟康唑治疗后神经体征和症状未改善，遂被转诊至三级医疗机构。她的症状在两个月内逐渐缓解。本病例报告说明了非免疫功能低下患者中隐球菌性脑膜炎的发生情况，以及在资源有限的环境中提供有效护理所面临的挑战。
