免疫功能正常患者伴隐球菌性脑膜炎的模拟脊髓肿瘤的脊髓隐球菌性昏迷

S. Viswanathan, Carol Lai, S. Ling, S. Yusoff, N. Rose
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引用次数: 1

摘要

文献中很少有脊髓隐球菌在发病时单独发生而不累及大脑的病例。虽然有脑隐球菌病并发蛛网膜炎的病例报道,但脊髓隐球菌病并发隐球菌性脑膜炎的病例极为罕见。我们提出了一个脊髓隐球菌感染的患者,随后在一个年轻的免疫功能正常的患者中发展为隐球菌性脑膜炎。早期识别和积极的抗真菌治疗是重要的。
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Spinal Cryptococcoma Mimicking Spinal Cord Tumor Complicated byCryptococcal Meningitis in an Immunocompetent Patient
There are very few cases in the literature on spinal cryptococcomas occurring alone without cerebral involvement at onset. Although cases of cerebral cryptoccomas followed by arachnoiditis have been reported, cases of spinal cryptococcoma followed by cryptococcal meningitis are exceedingly rare. We present a patient with spinal cord cryptococcoma who subsequently developed cryptococcal meningitis in a young immunocompetent patient. Early recognition and aggressive anti-fungal treatment is important.
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