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采用米替福新和伏立康唑新治疗方案成功治疗原发性阿米巴脑膜脑炎。

Successful Treatment of Primary Amoebic Meningoencephalitis Using a Novel Therapeutic Regimen Including Miltefosine and Voriconazole.

机构信息

Instituto de Medicina Tropical "Alexander Von Humboldt", Universidad Peruana Cayetano Heredia, Lima, Perú.

Departamento de Enfermedades Infecciosas, Tropicales y Dermatológicas, Hospital Cayetano Heredia, Lima, Perú.

出版信息

Acta Parasitol. 2022 Sep;67(3):1421-1424. doi: 10.1007/s11686-022-00591-9. Epub 2022 Jul 21.

Abstract

The genus Naegleria consists of free-living amoebae widely distributed worldwide in soil and freshwater habitats. Primary amoebic meningoencephalitis (PAM) is an uncommon and most likely fatal disease. The incubation period is approximately 7 days. The first symptoms are headache, nasal congestion, fever, vomiting, stiff neck within 3-4 days after the first symptoms, confusion, abnormal behavior, seizures, loss of balance and body control, coma, and death. We describe the case of a child who presented with PAM due to Naegleria sp., fully recovered from the infection without apparent sequels after treatment with a regimen that included miltefosine and voriconazole.

摘要

纳格尔里亚属是一种自由生活的变形虫,广泛分布于世界各地的土壤和淡水栖息地。原发性阿米巴脑膜脑炎(PAM)是一种罕见且极有可能致命的疾病。潜伏期约为 7 天。最初的症状是头痛、鼻塞、发热、呕吐,最初症状出现后 3-4 天内出现颈部僵硬、意识模糊、行为异常、癫痫发作、失去平衡和身体控制、昏迷和死亡。我们描述了一例因纳格尔里亚属引起的 PAM 的儿童病例,该患儿在接受米替福新和伏立康唑治疗后完全康复,没有明显后遗症。

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