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[中枢神经系统隐球菌病:18例两性霉素B、5-氟胞嘧啶和咪康唑治疗的评估]

[Cryptococcosis of the central nervous system: evaluation of amphotericin-B, 5-fluorocytosine and miconazole therapy in 18 cases].

作者信息

Nobrega J P, Livramento J A, Machado L R, Spina-França A

出版信息

Arq Neuropsiquiatr. 1979 Mar;37(1):28-33. doi: 10.1590/s0004-282x1979000100004.

Abstract

Results obtained in the treatment of cryptococcosis of the central nervous system with amphotericin-B, 5-fluorocytosine and miconazole are evaluated. The evaluation is based upon 18 cases. Emphasis is given to data pertinent to aspects proper to 7 of them, submitted to chronic immunosuppressive treatment due to previous kidney transplantation. Side effects varied from case to case in the patients submitted to amphotericin-B and 5-fluorocytosine treatment. The intrathecal and the intraventricular administration of amphotericin-B was followed by complications of several types. Miconazole was used in one case. Its intravenous and its intrathecal administration did not provoke remarkable side effects.

摘要

对使用两性霉素B、5-氟胞嘧啶和咪康唑治疗中枢神经系统隐球菌病所获得的结果进行了评估。该评估基于18个病例。重点关注了其中7例因先前肾移植而接受慢性免疫抑制治疗的患者的相关数据。接受两性霉素B和5-氟胞嘧啶治疗的患者,其副作用因病例而异。鞘内和脑室内注射两性霉素B后出现了几种类型的并发症。有1例使用了咪康唑。其静脉注射和鞘内注射均未引发明显的副作用。

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