免疫功能低下宿主念珠菌性脑膜炎伴上胃肠道念珠菌病。

Infectious diseases & clinical microbiology Pub Date : 2025-03-27 eCollection Date: 2025-03-01 DOI:10.36519/idcm.2025.415
Derya Korkmaz, Rabia Karakoç, Betül Altunbaş, Neşe Demirtürk
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引用次数: 0

摘要

白色念珠菌是人体皮肤、口腔和呼吸道菌群的正常组成部分,可引起免疫功能低下个体的机会性感染。这是一种罕见的脑膜炎病因。本研究提出了一例念珠菌脑膜炎患者银屑病和强直性脊柱炎治疗阿达木单抗。患者表现出广泛的口咽念珠菌病病变,延伸到喉部和食道,并被诊断为念珠菌脑膜炎。给予氟康唑静脉滴注和两性霉素B脂质体联合治疗28 d。本病例强调了免疫功能低下宿主早期诊断和治疗真菌性脑膜炎的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Candida Meningitis Accompanied by Upper Gastrointestinal Tract Candidiasis in an Immunocompromised Host.

Candida albicans, a normal component of the human skin, mouth, and respiratory tract flora, can cause opportunistic infections in immunocompromised individuals. It is a rare cause of meningitis. This study presents a case of Candida meningitis in a patient with psoriasis and ankylosing spondylitis treated with adalimumab. The patient presented with extensive oropharyngeal candidiasis lesions extending to the larynx and esophagus and was diagnosed with Candida meningitis. He was treated with intravenous fluconazole and liposomal amphotericin B combination therapy for 28 days. This case highlights the importance of early diagnosis and treatment of fungal meningitis in immunocompromised hosts.

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