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在免疫功能正常个体中表现为占位性病变的脑曲霉病。

Cerebral aspergillosis presenting as a space occupying lesion in an immunocompetent individual.

作者信息

El Hasbani Georges, Chirayil Joseph, Nithisoontorn Sutasinee, Antezana Arturo Alvarez, El Husseini Ibrahim, Landaeta Maria, Saeed Yasir, Assaker Richard

机构信息

American University of Beirut, Beirut, Lebanon.

Lincoln Medical and Mental Health Center, Bronx, New York, USA.

出版信息

Med Mycol Case Rep. 2019 Aug 1;25:45-48. doi: 10.1016/j.mmcr.2019.07.011. eCollection 2019 Sep.

Abstract

Cerebral aspergillosis has the tendency to occur in immunocompromised patients. Less commonly, immunocompetent individuals can be affected, with neuroimaging findings being difficult to interpret. The diagnosis necessitates imaging of the brain as well as the sinuses with biopsy and pathological confirmation. A surgical excision with aggressive antifungal agents are required for a proper management. This case report describes an immunocompetent patient with cerebral aspergillosis that presented radiologically as a suspicious mass to be diagnosed pathologically and excised surgically.

摘要

脑曲霉病倾向于发生在免疫功能低下的患者中。较少见的是,免疫功能正常的个体也可能受到影响,其神经影像学表现难以解读。诊断需要对脑部和鼻窦进行影像学检查,并通过活检和病理证实。恰当的治疗需要手术切除并积极使用抗真菌药物。本病例报告描述了一名免疫功能正常的脑曲霉病患者,其影像学表现为可疑肿块,经病理诊断后进行了手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b67a/6700407/f2da8093e138/gr1.jpg

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