頁籤選單縮合
題名 | Meningitis Caused by Pseudallescheria Boydii=Pseudallescheria Boydii腦膜炎 |
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作者姓名(中文) | 陳廷耀; 劉嘉為; 孔令璋; | 書刊名 | 長庚醫學 |
卷期 | 27:3 2004.03[民93.03] |
頁次 | 頁228-232 |
分類號 | 415.9313 |
關鍵詞 | 腦膜炎; 水腦症; 診斷; 治療; Meningitis; Pseudallescheria boydii; Hydrocephalus; Diagnosis; Therapies; |
語文 | 英文(English) |
中文摘要 | 本病例為43歲男性,因持續頭病、發燒、雙眼疼痛而住院。溯其過去史無特處,理學檢查除頸部僵硬外無其他異常。外次腦脊髓液追蹤檢查顯示持續有嗜中性白血球偏高,多次腦脊髓液培養無細菌、結核菌或真菌生長。經抗生素治療,住院兩個月後腦部電腦斷攝影檢查顯示有腦室積水現象,病人因而接受腦室腹腔引流手術,而自引流管獲得之腦脊髓液中,培養出Pseudallescheria boydii。後雖經改用Amphoteicin B合併5-fluocytocin治療,病人仍於住院三個月後死亡。本病例之特點為Pseudallescheria boydii所引起之持續嗜中性白血球腦膜炎且無誘因可循。 |
英文摘要 | We present a 43-year-old immunocompetent man who developed meningitis caused by Pseudallescheria boydii. The patient had no history of near drowning, trauma, steroid administration, operations or any other underlying systemic disease. He presented with intermittent fever associated with headache, bilateral eye pain, and vomiting. Progressive hydrocephalus was noted during the course of the disease. Cerebrospinal fluid (CSF) from the ventricular system allowed culture of the organism. Although the disease was diagnosed antemortemly, the patient died after antifungal treatment. This case is reported because of the unusual pathogen, unresponsiveness to amphotericin B combined with 5-fluocytocin, and immunocompetence of the patient without any predisposing factors. |
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