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隐球菌性脑膜炎是隐球菌全身性真菌感染的严重并发症之一,它的预后决定早期诊断及治疗,本文对临床误诊误治1例报告如下。病史摘要男性,19岁,未婚,战士,因头痛、恶心、视力下降于1985年11月2日由脑外科转入本科。患者于1985年3月出现间断性双颞部隐痛,同年7月发现右足“鸡眼”渐渐增大,头痛加重、伴恶心、呕吐、复视及视力下降。经他院检查示:视乳头水肿(双),脑脊液压力>450mmH_2O,蛋白54.7mg%,细胞数、糖、氯化物不详。脑电图示:双侧慢波,以右侧为主,右侧脑血管造影未见异常。入院检查:体温37.4℃,神志清,除双侧视乳头水肿外,神经系统无阳性体征。
Cryptococcal meningitis is a serious complication of systemic fungal infection of cryptococcal one of its prognosis decided to early diagnosis and treatment of this paper, a clinical misdiagnosis and mistreatment reported as follows. Summary of medical history Male, 19 years old, single, soldier, due to headache, nausea, decreased visual acuity in November 2, 1985 from brain surgery into undergraduate. Patients in March 1985 intermittent bilateral temporal pain, the same year in July found that the right foot “corns” gradually increased, increased headache, with nausea, vomiting, diplopia and decreased visual acuity. After his hospital examination showed: papilledema (double), cerebrospinal fluid pressure> 450mmH2O, protein 54.7mg%, cell number, sugar, chloride unknown. EEG shows: bilateral slow waves, mainly to the right, right cerebral angiography no abnormalities. Admission examination: body temperature 37.4 ℃, clear consciousness, in addition to bilateral papilledema, the nervous system no positive signs.