Stone J H, Pomper M G, Hellmann D B
Division of Rheumatology, Johns Hopkins University, Baltimore, MD 21205, USA.
J Rheumatol. 1998 Aug;25(8):1644-8.
We describe a case of disseminated histoplasmosis that was erroneously diagnosed as central nervous system vasculitis and treated with immunosuppressive therapy. Our case emphasizes the importance of excluding infections before initiating treatment for presumed central nervous system vasculitis. Clinical clues to underlying Histoplasma infections are also discussed.
我们描述了一例播散性组织胞浆菌病,该病例曾被误诊为中枢神经系统血管炎并接受了免疫抑制治疗。我们的病例强调了在开始治疗疑似中枢神经系统血管炎之前排除感染的重要性。同时还讨论了潜在组织胞浆菌感染的临床线索。