免疫抑制患者后颅窝肿块。

V R N Gunness, A Hana, C Berthold, G Dooms, F Hertel
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引用次数: 0

摘要

背景:弓形虫病是获得性免疫缺陷综合征患者中最常见的中枢神经系统机会性感染。放射成像方式包括脑CT、MRI和PET扫描。鉴别诊断通常为:原发性中枢神经系统淋巴瘤、脑转移、进行性多灶性脑白质病、巨细胞病毒。它表明严重的免疫缺陷,如果不治疗,可能会导致死亡。病例描述:65岁女性免疫缺陷与非霍奇金淋巴瘤化疗治疗。她一直饱受呕吐、头痛和眩晕之苦。她接受了达法尔甘、倍他赛克、纽博根和耐舒坦的治疗。结论:本病例说明在开始任何治疗前必须进行脑活检。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posterior fossa mass in immunosuppressed patient.

Background: Toxoplasmosis is the most frequent opportunistic infection of the central nervous system among individuals with the acquired immunodeficiency syndrome. Radiographic modalities include brain CT, MRI and PET scan. The differential diagnosis are usually: primary CNS lymphoma, cerebral metastasis, Progressive multifocal leukoencephalopathy, cytomegalovirus. It indicates severe immunodeficiency and, if it remains untreated, it may lead to death.

Case description: A 65 year old immunodeficiency woman with a Non Hodgkin Lymphoma treated with Chemotherapy. She had been suffering from vomiting, headache and vertigo. Treatment she received Dafalgan, Betaserc, neupogen and nexiam.

Conclusion: This case illustrates that a brain biopsy is compulsory before starting any treatment.

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