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肝硬化患者由[病原体未明确]引起的脑膜炎：一例病例报告及文献复习

Meningitis caused by in a patient with liver cirrhosis: A case report and review of the literature.

作者信息

Absar Muhammad, Alduwayrij Ahmed, Al-Arfaj Abdulmajeed, Shah Zafar, Nashmy Fahad, Yacoubi Mohamed Tahar

机构信息

Department of Pathology and Laboratory Medicine, King Abdulaziz Hospital, Ministry of the National Guard-Health Affairs, AlAhsa, Saudi Arabia.

Department of Medical Education, King Abdulaziz Hospital, Ministry of the National Guard-Health Affairs, AlAhsa, Saudi Arabia.

出版信息

Med Mycol Case Rep. 2024 Oct 15;46:100678. doi: 10.1016/j.mmcr.2024.100678. eCollection 2024 Dec.

DOI:10.1016/j.mmcr.2024.100678
PMID:39497684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11532277/
Abstract

UNLABELLED

Candida meningitis is almost always caused by , but other species, such as , can cause it on rare occasions. is increasingly linked to immunocompromised hosts but also affects immunocompetent hosts. To the best of our knowledge, we present the ninth (9th) case of meningitis, the first from Saudi Arabia. A 70-year-old woman with multiple comorbidities presented with confusion, poor oral intake, and left upper limb swelling for two weeks. was isolated and treated with liposomal amphotericin and anidulafungin. The scarcity of such infections makes the best treatment regimen undetermined.

2012 ELSEVIER LTD: All rights reserved.

摘要

未标注

念珠菌性脑膜炎几乎总是由[具体菌种1]引起，但其他菌种，如[具体菌种2]，在极少数情况下也可导致该病。[具体菌种1]越来越多地与免疫功能低下的宿主相关，但也会影响免疫功能正常的宿主。据我们所知，我们报告了第9例[具体菌种1]脑膜炎病例，这是沙特阿拉伯的首例。一名患有多种合并症的70岁女性出现意识模糊、口服摄入减少和左上肢肿胀两周。分离出[具体菌种1]后，用脂质体两性霉素和阿尼芬净进行治疗。此类感染病例稀少，使得最佳治疗方案尚未确定。

2012爱思唯尔有限公司：保留所有权利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01ac/11532277/e14ca6bb123b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01ac/11532277/c0f0a9708924/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01ac/11532277/e14ca6bb123b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01ac/11532277/c0f0a9708924/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01ac/11532277/e14ca6bb123b/gr2.jpg

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本文引用的文献

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chronic meningitis in an immunocompetent patient: Case report and literature review.免疫功能正常患者的慢性脑膜炎：病例报告及文献综述
IDCases. 2022 Dec 20;31:e01665. doi: 10.1016/j.idcr.2022.e01665. eCollection 2023.
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Case Report: as a Cause of Chronic Meningitis.病例报告：作为慢性脑膜炎的一个病因。
Front Neurol. 2020 Dec 8;11:601242. doi: 10.3389/fneur.2020.601242. eCollection 2020.
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Fatal chronic meningitis caused by after liver transplantation.肝移植后由[具体病因未给出]引起的致命性慢性脑膜炎。
Med Mycol Case Rep. 2019 Dec 17;27:22-24. doi: 10.1016/j.mmcr.2019.12.009. eCollection 2020 Mar.
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Chronic meningitis in a lung transplant recipient.一名肺移植受者的慢性脑膜炎。
Med Mycol Case Rep. 2019 Mar 25;24:41-43. doi: 10.1016/j.mmcr.2019.03.004. eCollection 2019 Jun.
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Fungal Infections of the Central Nervous System in Children.儿童中枢神经系统真菌感染。
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Meningitis Caused by Candida Dubliniensis in a Patient with Cirrhosis: A Case Report and Review of the Literature.一名肝硬化患者由都柏林念珠菌引起的脑膜炎：病例报告及文献复习
Mycopathologia. 2016 Aug;181(7-8):589-93. doi: 10.1007/s11046-016-0006-7. Epub 2016 Apr 1.
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The first documented case of Candida dubliniensis leptomeningeal disease in an immunocompetent host.免疫功能正常宿主中首例有记录的都柏林念珠菌性软脑膜疾病病例。
BMJ Case Rep. 2011 Aug 4;2011:bcr0620114384. doi: 10.1136/bcr.06.2011.4384.