中国真菌学杂志2017，Vol.12Issue(3)：156-158,161,4.
误诊为结核性脑膜炎的隐球菌脑膜炎1例
A case of cryptococcal meningitis misdiagnosed as tuberculous meningitis
陶露 1周文明1
作者信息
- 1. 安徽医科大学皮肤病研究所安徽医科大学附属第一医院皮肤科,合肥230032
- 折叠
摘要
Abstract
To report one case of cryptococcal meningitis misdiagnosed as tuberculous meningitis.The patient was a 49-year-old female with intermittent headache,low fever,progressive visual and hearing damage for more than three months,who was diagnosed as tuberculous meningitis.After anti-tuberculous treatment for more than a month,the patient developed an elevated temperature to 39.4 degree,a severe headache and vomiting for 3 days.And the fungus cultivation of eerebrospinal fluid gotten by lumbar puncture was positive.Beside,the cryptococcal antigens titer testing was 1 ∶ 80.So the patient was diagnosed as cryptococcal meningitis.Nowdays the condition of the patient was better than before and the etiological examinations of the cerebrospinal fluid become negative after antifungal treatments for half a year.关键词
隐球菌脑膜炎/结核性脑膜炎/脑脊液/误诊Key words
cryptococcal meningitis/tuberculous meningitis/cerebrospinal fluid/misdiagnosed分类
医药卫生引用本文复制引用
陶露,周文明..误诊为结核性脑膜炎的隐球菌脑膜炎1例[J].中国真菌学杂志,2017,12(3):156-158,161,4.
