从单一机构的病例系列中接受过脑膜外科手术的三名患者的Candida脑膜炎
Mattia Russel Pantalone1,2, Francesca De Luca3, Lovisa Terling4
1Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden. mattia.pantalone@ki.se.
Acta neurochirurgica
|March 14, 2026
概括
疹性脑膜炎是经过脑膜外科手术后的一种罕见但严重的并发症. 这项研究在以前健康的个体中发现了三个病例,强调了在术后诊断这种真菌感染时需要保持警.
科学领域:
- 神经外科 神经外科
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
背景情况:
- 状脑膜炎是神经外科患者罕见但危及生命的并发症.
- 发表的病例系列主要涉及切割患者,对跨形手术病例的数据有限.
研究的目的:
- 为了调查膜外科手术后的Candida脑膜炎的发生和特征.
- 确定这种罕见并发症的潜在风险因素和成功的治疗策略.
主要方法:
- 在2020-2024年间,对接受过角膜外科手术的患者进行机构审查.
- 对被诊断患有术后Candida脑膜炎的患者进行鉴定和分析.
主要成果:
- 在400多次跨形手术中,发现了三例Candida脑膜炎病例.
- 所有受影响的患者都经历了手术后脑脊液 (CSF) 鼻,并发展出垂体衰竭.
- 通过抗真菌药物 (安福特里辛B和弗卢科纳) 和支持性护理成功治疗.
结论:
- 坎迪达脑膜炎虽然不常见,但在经过脑膜外科手术后,即使在以前健康的个体中,也可能发生.
- 在非响应性脑膜炎病例中怀疑Candida脑膜炎术后.
- 在诊断中考虑诸如CSF泄漏,垂体衰竭和长期使用皮质类固醇等危险因素.
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