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脑曲霉病:临床特征及其与计算机断层扫描的相关性

Cerebral torulosis: clinical features and correlation with computed tomography.

作者信息

Daunt N, Jayasinghe L S

出版信息

Clin Radiol. 1985 Sep;36(5):485-90. doi: 10.1016/s0009-9260(85)80195-1.

Abstract

Cryptococcus neoformans (Torula histolytica) is an uncommon cause of infection in the central nervous system. We review 15 cases from all over Queensland which have presented in the last 6 years. Computed tomography (CT) studies were abnormal in 73.5%, with mass lesions and hydrocephalus being the commonest findings. Notable findings were: the disproportionate severity of clinical signs and symptoms as compared with the CT findings, which often were either normal or demonstrated only small granulomas without significant mass effect, absence of enhancement in granulomas in two cases and observation of calcification during treatment in one patient.

摘要

新型隐球菌(溶组织酵母菌)是中枢神经系统感染的罕见病因。我们回顾了昆士兰州各地在过去6年中出现的15例病例。计算机断层扫描(CT)研究显示73.5%的病例存在异常,最常见的表现为占位性病变和脑积水。值得注意的发现有:临床体征和症状的严重程度与CT表现不成比例,CT表现通常正常或仅显示小肉芽肿且无明显占位效应;2例肉芽肿无强化;1例患者在治疗期间观察到钙化。

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