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免疫功能正常儿童棘阿米巴脑膜脑炎的成功治疗

Successful Treatment of Acanthamoeba Meningoencephalitis in an Immunocompetent Child.

机构信息

SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Pediatric Department, Division of Pediatric Infectious Diseases, Istanbul, Turkey.

SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Pediatric Department, Division of Pediatric Emergency, Istanbul, Turkey.

出版信息

J Trop Pediatr. 2021 May 17;67(2). doi: 10.1093/tropej/fmaa102.

Abstract

Acanthamoeba meningoencephalitis is a very rare entity with high mortality rate. Its diagnosis is usually delated, and the optimal approach for its treatment is uncertain. In presented case, early diagnosis was made with direct examination of cerebral spinal fluid, and immediate initiation of accurate treatment with amphotericin B and fluconazole survived patient.

摘要

棘阿米巴脑膜脑炎是一种非常罕见的疾病,死亡率很高。其诊断通常较晚,最佳治疗方法也不确定。在本病例中,通过直接检查脑脊液做出了早期诊断,并立即开始使用两性霉素 B 和氟康唑进行准确治疗,使患者得以存活。

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