病例报告:一系列由三种脑膜炎病例引起的Acanthamoeba spp. 来自印度东部的印度
Soumendra Nath Haldar1, Kokila Banerjee2, Dolanchampa Modak3
1Department of Infectious Diseases and Advanced Microbiology, School of Tropical Medicine, Kolkata, India.
The American journal of tropical medicine and hygiene
|January 8, 2024
概括
在印度东部,三名免疫能力良好的人患上了罕见且致命的阿坎萨摩巴脑膜炎. 早期诊断和治疗对于生存至关重要,正如一位患者所强调的那样.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 阿坎萨摩巴菌种是脑膜炎的不常见原因,往往导致致命的结果.
- 本报告重点关注来自印度东部的免疫能力较强个体中的三个病例,该地区通常与这种病原体无关.
研究的目的:
- 报告印度东部发生了一群异常的阿坎萨摩巴脑膜炎病例.
- 为了突出诊断挑战和治疗结果这种罕见的条件.
主要方法:
- 三名被诊断患有Acanthamoeba脑膜炎的患者的病例系列介绍.
- 诊断方法包括显微镜,培养和脑脊髓液的聚合酶链反应 (PCR).
- 治疗涉及抗微生物和抗真菌剂的组合,其中一名患者接受了米尔特福辛.
主要成果:
- 这三名患者都出现了神经症状,两人同时患有结核性脑膜炎.
- 脑脊液分析显示了淋巴细胞多细胞化和蛋白质水平升高.
- 一名患者在包括米尔特福辛在内的组合治疗中幸存下来,而另外两名患者尽管在重症监护室中死亡.
结论:
- 在印度东部一个月内发生的三起病例值得注意,这表明发生率可能增加或检测有所改善.
- 提高医疗保健提供者对Acanthamoeba脑膜炎的认识,对于及时诊断和改善患者的治疗结果至关重要.
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