Tolentino P, Borrone C
Scand J Infect Dis. 1976;8(1):61-4.
A 5-year-old boy was admitted with an acute febrile illness and painful and enlarged cervical lymph nodes. A chest X-ray showed right tracheobronchial lymph nodes. A lymph node biopsy demonstrated a tuberculoid appearance, with epitheloid cells, giant cells, and also necrotic zones. Cryptococcus neoformans was isolated both in culture and after animal inoculation. While amphotericin B was not tolerated by the patient, the oral administration of 5-fluorocytosine resulted in a rapid recovery.
一名5岁男孩因急性发热性疾病及颈部淋巴结疼痛肿大入院。胸部X线显示右气管支气管淋巴结肿大。淋巴结活检显示为结核样表现,可见上皮样细胞、巨细胞,还有坏死区域。在培养物及动物接种后均分离出新型隐球菌。患者无法耐受两性霉素B,但口服5-氟胞嘧啶后迅速康复。