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鼻眶毛霉菌病并发脑脓肿

Rhino-orbital phycomycosis complicated by cerebral abscess.

作者信息

Berthier M, Palmieri O, Lylyk P, Leiguarda R

出版信息

Neuroradiology. 1982;22(4):221-4. doi: 10.1007/BF00341254.

DOI:10.1007/BF00341254
PMID:7057997
Abstract

The incidence of phycomicosis has increased in the last decades. Its diagnosis is very difficult and usually not established ante morten. Early treatment is of crucial importance, because despite the antifungal drugs, the mortality rate remains around 80%. The present report describes a successfully treated diabetic patient with a rhino-orbital form of the disease and an unusual complication--a cerebral abscess--in whom the clinical diagnosis was supported by the CT findings.

摘要

在过去几十年中,毛霉病的发病率有所上升。其诊断非常困难,通常在生前无法确诊。早期治疗至关重要,因为尽管使用了抗真菌药物,死亡率仍保持在80%左右。本报告描述了一名成功治愈的糖尿病患者,该患者患有鼻眶型毛霉病并伴有一种不寻常的并发症——脑脓肿,其临床诊断得到了CT检查结果的支持。

相似文献

1
Rhino-orbital phycomycosis complicated by cerebral abscess.鼻眶毛霉菌病并发脑脓肿
Neuroradiology. 1982;22(4):221-4. doi: 10.1007/BF00341254.
2
Internal ophthalmoplegia resulting from acute orbital phycomycosis.急性眼眶毛霉菌病所致的眼内肌麻痹。
J Clin Neuroophthalmol. 1984 Jun;4(2):105-8.
3
Petriellidium (Allescheria) boydii orbital and brain abscess treated with intravenous miconazole.静脉注射咪康唑治疗博伊德被孢霉(阿利什利霉)眼眶及脑脓肿
Am J Ophthalmol. 1984 Jun;97(6):771-5. doi: 10.1016/0002-9394(84)90511-7.
4
Orbital phycomycosis.眼眶毛霉菌病
Ophthalmologica. 1981;182(3):165-70. doi: 10.1159/000309108.
5
Craniofacial mucormycosis: assessment with CT.颅面部毛霉菌病:CT评估
Radiology. 1986 Jul;160(1):207-12. doi: 10.1148/radiology.160.1.3715034.
6
Intracranial abscesses secondary to nasal, sinus, and orbital infections in adults and children.成人和儿童中由鼻、鼻窦及眼眶感染继发的颅内脓肿。
Arch Otolaryngol Head Neck Surg. 1989 Dec;115(12):1424-9. doi: 10.1001/archotol.1989.01860360026011.
7
Cerebro-rhino-orbital phycomycosis: a case report.
Ann Ophthalmol. 1980 Apr;12(4):459-63.
8
Use of oral ivermectin in a patient with destructive rhino-orbital myiasis.伊维菌素口服制剂在一名患有破坏性鼻眶蝇蛆病患者中的应用。
Eye (Lond). 2005 Sep;19(9):1018-20. doi: 10.1038/sj.eye.6701713.
9
[Nasal endoscopic surgery in complicated ethmoiditis].[鼻内镜手术治疗复杂性筛窦炎]
Acta Otorrinolaringol Esp. 1995 Jan-Feb;46(1):31-4.
10
Orbital and intracranial complications of acute sinusitis.急性鼻窦炎的眼眶和颅内并发症。
Neuroimaging Clin N Am. 2010 Nov;20(4):511-26. doi: 10.1016/j.nic.2010.07.004.

引用本文的文献

1
Systemic zygomycosis.系统性接合菌病
Postgrad Med J. 1986 Nov;62(733):985-96. doi: 10.1136/pgmj.62.733.985.
2
Cerebral candidiasis. Computed tomography appearance.脑念珠菌病。计算机断层扫描表现。
Pediatr Radiol. 1989;19(6-7):436. doi: 10.1007/BF02387644.

本文引用的文献

1
Successful treatment of cerebral mucormycosis with amphotericin B.两性霉素B成功治疗脑毛霉菌病。
JAMA. 1963 Feb 2;183:370-2. doi: 10.1001/jama.1963.63700050034023a.
2
Histopathologic aspects of the pathogenesis of some opportunistic fungal infections, as exemplified in the pathology of aspergillosis and the phycomycetoses.一些机会性真菌感染发病机制的组织病理学方面,以曲霉病和藻菌病的病理学为例。
Lab Invest. 1962 Nov;11:1073-90.
3
Mucormycosis of head and neck structures. A case with survival.头颈部结构的毛霉病。一例存活病例。
Br Med J. 1962 Mar 17;1(5280):766-8. doi: 10.1136/bmj.1.5280.766.
4
Leukopenia and therapy in leukemia as factors predisposing to fatal mycoses. Mucormycosis, aspergillosis, and cryptococcosis.白血病中的白细胞减少症及治疗作为易引发致命真菌感染的因素。毛霉菌病、曲霉菌病和隐球菌病。
Am J Clin Pathol. 1962 Apr;37:358-73. doi: 10.1093/ajcp/37.4.358.
5
Acute pancreatitis in pregnancy complicated by renal cortical necrosis and cerebral mucormycosis.妊娠合并肾皮质坏死和脑毛霉菌病的急性胰腺炎。
Can Med Assoc J. 1959 Oct 1;81(7):562-4.
6
Mucormycosis of the central nervous system associated with thrombosis of the internal carotid artery.
J Pediatr. 1954 Apr;44(4):437-42. doi: 10.1016/s0022-3476(54)80218-6.
7
Cephalic mucormycosis (phycomycosis). A case with survival.
Arch Neurol. 1967 Oct;17(4):379-86. doi: 10.1001/archneur.1967.00470280045005.
8
Cerebral phycomycosis (mucormycosis) with ocular involvement.累及眼部的脑藻菌病(毛霉菌病)。
Am J Ophthalmol. 1966 Nov;62(5):900-6. doi: 10.1016/0002-9394(66)91915-5.
9
Phycomycotic thrombosis of the basilar artery.
Neurology. 1968 Aug;18(8):807-12. doi: 10.1212/wnl.18.8.807.
10
Survival in orbital phycomycosis.眼眶毛霉菌病的生存情况。
Am J Ophthalmol. 1971 May;71(5):1078-80. doi: 10.1016/0002-9394(71)90578-2.