隐球菌性脑膜脑炎。病例报告及意大利文献综述。
Cryptococcal meningoencephalitis. Case report and review of Italian literature.
作者信息
Bussone G, La Mantia L, Parati E A, Frediani F, Lamperti E, Boiardi A, Peccarisi C, Tortorano A M, Viviani M A
出版信息
Eur Neurol. 1986;25(4):256-61. doi: 10.1159/000116018.
A case of cryptococcal meningoencephalitis, as presented by a hypertensive hydrocephalus, is described. To our knowledge, this is the 24th case described in Italy since 1953. The diagnosis was made with ventricular fluid examination: the patient was successfully treated with amphotericin B and 5-fluorocytosine, thus avoiding the risks of surgical treatment of hydrocephalus. Early diagnosis and proper therapy are necessary in order to decrease the high lethality of cryptococcosis.
本文描述了一例以高血压性脑积水为表现的隐球菌性脑膜脑炎病例。据我们所知，这是自1953年以来意大利报道的第24例病例。通过脑室液检查做出诊断：患者接受两性霉素B和5-氟胞嘧啶成功治疗，从而避免了脑积水手术治疗的风险。为降低隐球菌病的高致死率，早期诊断和适当治疗是必要的。
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