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一名免疫功能正常的男子接触宠物凤头鹦鹉后感染隐球菌性脑膜炎：一种被忽视的人畜共患病。

Cryptococcal Meningitis in an Immunocompetent Man Exposed to a Pet Cockatoo: An Overlooked Zoonosis.

作者信息

Peralta Diego P, Najjar Haya, Garcia-Chan Jessica

机构信息

Infectious Diseases, Texas Tech University Health Sciences Center El Paso, El Paso, USA.

Department of Medicine, University of California San Diego, San Diego, USA.

出版信息

Cureus. 2022 Aug 17;14(8):e28122. doi: 10.7759/cureus.28122. eCollection 2022 Aug.

DOI:10.7759/cureus.28122
PMID:36158362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9491681/
Abstract

species are commonly isolated in the excreta of birds, but zoonotic transmission has yet to be proven. We report a case of an immunocompetent man with meningitis caused by var. with significant exposure to a pet cockatoo highly suspicious for zoonotic transmission. Treatment with intravenous liposomal amphotericin B and oral flucytosine was initiated upon diagnosis, but diagnostic delay because of low suspicion contributed to neurological sequelae. Recognition of pet birds as potential sources of species' zoonotic transmission is essential for prompt diagnosis and treatment.

摘要

该物种常见于鸟类排泄物中，但人畜共患传播尚未得到证实。我们报告一例免疫功能正常的男性脑膜炎病例，由变种引起，该男子曾大量接触一只高度怀疑为人畜共患传播源的宠物凤头鹦鹉。诊断后即开始静脉注射脂质体两性霉素B和口服氟胞嘧啶治疗，但因怀疑度低导致诊断延迟，进而造成神经后遗症。认识到宠物鸟是该物种人畜共患传播的潜在来源，对于及时诊断和治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7498/9491681/f08e3c8c2574/cureus-0014-00000028122-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7498/9491681/06728643e977/cureus-0014-00000028122-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7498/9491681/f08e3c8c2574/cureus-0014-00000028122-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7498/9491681/06728643e977/cureus-0014-00000028122-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7498/9491681/f08e3c8c2574/cureus-0014-00000028122-i02.jpg

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