Anni Wang , Jia Liu , Junyu Liu , Lu Yang , Shiqi Yao , Bang-e Qin , Zhihui Su , Xiaofeng Xu , Han Xia , Ying Jiang , Fuhua Peng
{"title":"加蒂隐球菌脑膜炎合并脑室-腹膜分流的可逆性耳聋和失明:1例报告并文献复习","authors":"Anni Wang , Jia Liu , Junyu Liu , Lu Yang , Shiqi Yao , Bang-e Qin , Zhihui Su , Xiaofeng Xu , Han Xia , Ying Jiang , Fuhua Peng","doi":"10.1016/j.mycmed.2023.101357","DOIUrl":null,"url":null,"abstract":"<div><p><span><em>Cryptococcus gattii</em></span> (<em>C. gattii</em><span>) has been considered a leading cause of meningitis in immunocompetent hosts in tropical and subtropical regions. Visual loss is common but hearing impairment is relatively infrequent in </span><em>C. gattii</em> meningitis. Notably, there have been limited studies on the etiology, and especially therapy of auditory and ocular complications associated with <em>C. gattii</em><span><span> meningitis. Here we report a case of reversible deafness and blindness treated with a </span>ventriculoperitoneal shunt (VPS) surgery in </span><em>C. gattii</em><span> meningitis. This case indicated that elevated intracranial pressure (ICP) may play a role in the concurrent hearing and vision impairments associated with </span><em>C. gattii</em><span> meningitis and the early VPS surgery after the initiation of the antifungal therapy may effectively improve both hearing and vision in this condition.</span></p></div>","PeriodicalId":14824,"journal":{"name":"Journal de mycologie medicale","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reversible deafness and blindness in Cryptococcus gattii meningitis with a ventriculoperitoneal shunt: A case report and literature review\",\"authors\":\"Anni Wang , Jia Liu , Junyu Liu , Lu Yang , Shiqi Yao , Bang-e Qin , Zhihui Su , Xiaofeng Xu , Han Xia , Ying Jiang , Fuhua Peng\",\"doi\":\"10.1016/j.mycmed.2023.101357\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span><em>Cryptococcus gattii</em></span> (<em>C. gattii</em><span>) has been considered a leading cause of meningitis in immunocompetent hosts in tropical and subtropical regions. Visual loss is common but hearing impairment is relatively infrequent in </span><em>C. gattii</em> meningitis. Notably, there have been limited studies on the etiology, and especially therapy of auditory and ocular complications associated with <em>C. gattii</em><span><span> meningitis. Here we report a case of reversible deafness and blindness treated with a </span>ventriculoperitoneal shunt (VPS) surgery in </span><em>C. gattii</em><span> meningitis. This case indicated that elevated intracranial pressure (ICP) may play a role in the concurrent hearing and vision impairments associated with </span><em>C. gattii</em><span> meningitis and the early VPS surgery after the initiation of the antifungal therapy may effectively improve both hearing and vision in this condition.</span></p></div>\",\"PeriodicalId\":14824,\"journal\":{\"name\":\"Journal de mycologie medicale\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2023-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal de mycologie medicale\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S115652332300001X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MYCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal de mycologie medicale","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S115652332300001X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MYCOLOGY","Score":null,"Total":0}
Reversible deafness and blindness in Cryptococcus gattii meningitis with a ventriculoperitoneal shunt: A case report and literature review
Cryptococcus gattii (C. gattii) has been considered a leading cause of meningitis in immunocompetent hosts in tropical and subtropical regions. Visual loss is common but hearing impairment is relatively infrequent in C. gattii meningitis. Notably, there have been limited studies on the etiology, and especially therapy of auditory and ocular complications associated with C. gattii meningitis. Here we report a case of reversible deafness and blindness treated with a ventriculoperitoneal shunt (VPS) surgery in C. gattii meningitis. This case indicated that elevated intracranial pressure (ICP) may play a role in the concurrent hearing and vision impairments associated with C. gattii meningitis and the early VPS surgery after the initiation of the antifungal therapy may effectively improve both hearing and vision in this condition.
期刊介绍:
The Journal de Mycologie Medicale / Journal of Medical Mycology (JMM) publishes in English works dealing with human and animal mycology. The subjects treated are focused in particular on clinical, diagnostic, epidemiological, immunological, medical, pathological, preventive or therapeutic aspects of mycoses. Also covered are basic aspects linked primarily with morphology (electronic and photonic microscopy), physiology, biochemistry, cellular and molecular biology, immunochemistry, genetics, taxonomy or phylogeny of pathogenic or opportunistic fungi and actinomycetes in humans or animals. Studies of natural products showing inhibitory activity against pathogenic fungi cannot be considered without chemical characterization and identification of the compounds responsible for the inhibitory activity.
JMM publishes (guest) editorials, original articles, reviews (and minireviews), case reports, technical notes, letters to the editor and information. Only clinical cases with real originality (new species, new clinical present action, new geographical localization, etc.), and fully documented (identification methods, results, etc.), will be considered.
Under no circumstances does the journal guarantee publication before the editorial board makes its final decision.
The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey platforms.