血液透析后发生脑脓肿：一例报告。
cerebral abscess following hemodialysis: A case report.
作者信息
Sagar Tanu, Sheoran Lata, Prajapati Ajay, Khuraijam Bembem, Jana Partha Pratin, Pandey P N, Saxena Sonal
机构信息
Department of Microbiology, Maulana Azad Medical College, New Delhi, India.
Department of Neurosurgery, Lok Nayak Hospital, New Delhi, India.
出版信息
Curr Med Mycol. 2022 Dec;8(4):32-36. doi: 10.32598/CMM.2023.1323.
BACKGROUND AND PURPOSE
Cerebral aspergillosis is a notorious disease that causes rapid clinical deterioration and carries a poor prognosis. Therefore, it requires timely diagnosis and prompt management.
CASE REPORT
This study reports a case of fungal cerebral abscess in a 26years old man following hemodialysis,2 months afterdengue-induced acute kidney disease. was recovered from a brain abscess specimen that was subjected to a parietal craniotomy. The patient was successfully treated with oral Voriconazole 400mg BD for 2 days, followed by 200 mg BD for 3months.
CONCLUSION
Hemodialysis patients are at high risk offungal infections due to the frequent use of catheters or the insertion of needles to access the bloodstream. Therefore, a high index of suspicion of fungal infection is required in patients with hemodialysis by the clinician for early diagnosis and treatment.
背景与目的
脑曲霉病是一种恶名昭著的疾病，可导致临床迅速恶化且预后不良。因此，需要及时诊断并迅速处理。
病例报告
本研究报告了一例26岁男性在登革热诱发急性肾疾病2个月后进行血液透析后发生真菌性脑脓肿的病例。从接受顶骨开颅手术的脑脓肿标本中分离出该病菌。患者先口服伏立康唑400mg，每日两次，共2天，随后200mg，每日两次，持续3个月，治疗成功。
结论
血液透析患者因频繁使用导管或穿刺针进入血液循环而极易发生真菌感染。因此，临床医生对于血液透析患者需高度怀疑真菌感染，以便早期诊断和治疗。
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