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頁籤選單縮合
題名 | Concomitant Stroke and Candida Parapsilosis Native Valve Endocarditis: Report of One Case and Literature Review=腦中風與原始性C. Parapsilosis心瓣膜炎:一病例報告與文獻回顧 |
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作者 | 李垂勳; 黃致任; 盧成憲; 呂鎮中; 簡春治; 張文能; | 書刊名 | Acta Neurologica Taiwanica |
卷期 | 13:3 2004.09[民93.09] |
頁次 | 頁131-135 |
分類號 | 415.922 |
關鍵詞 | 腦中風; 原始性C. Parapsilosis心瓣膜炎; Candida parapsilosis; Cerebrovascular stroke; Native valve endocarditis; |
語文 | 英文(English) |
英文摘要 | Cerebrovascular stroke due to Candida (C.)parapsilosis native valve endocarditis (NVE) is rarely reported. Herein, we report a 53-year man with C. parapsilosis NVE and acute ischemic stroke. Diabetes mellitus and recent dental manipulation were the preceding events. Cranial magnetic resonance imaging study revealed occlusion of left common carotid artery, and infarcts of the pons and territory of the branch of left middle cerebral artery. With a total of 4,051 mg amphotericin B therapy and aortic valve replacement, the patient survived with right hemiplegia and dysarthria. In the English literature, there have been 12 patients with C. parapsilosis NVE including our patient over the past 25 years. Intravenous drug abuse was the most common predisposing factor for this infective disorder, followed by hematological malignancy and central venous catheterization. Fever and ischemic phenomenon of lower legs were the common clinical manifestations. Cerebrovascular stroke was present only in our case. Of these 12 patients, one administered fluconazole and miconazole therapy died, while 11 with amphotericin B therapy and one patient with fluconazole monotherapy survived. |
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