Chagasic meningoencephalitis with detection of Trypanosoma cruzi in the cerebrospinal fluid of an immunodepressed patient.

E Jardim, O M Takayanagui
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Abstract

We report a case of chagasic meningoencephalitis with the detection of Trypanosoma cruzi in the cerebrospinal fluid (CSF). The patient was a renal transplant recipient with a chagasic history preceding surgery who had been receiving immunosuppressive medication for 8 years, a probable cause of the recrudescence of Chagas' disease. He was treated with benznidazole, with normalization of the CSF. He was discharged from hospital in a good clinical condition.

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1例免疫功能低下患者脑脊液中检测出恰加斯脑膜脑炎伴克氏锥虫。
我们报告一例在脑脊液(CSF)中发现克氏锥虫的偶发脑膜脑炎病例。患者为肾移植受者,手术前有恰加斯病病史,接受免疫抑制药物治疗8年,这可能是恰加斯病复发的原因。给予苯并硝唑治疗,脑脊液恢复正常。他出院时临床情况良好。
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