- 期刊
Cerebral Cryptococcosis Mimicking Brain Tumor in an Elderly Woman Who was Seronegative for Human Immunodeficiency Virus Infection: The Need for A Multidisciplinary Approach
非愛滋老人以類似腫瘤表現的腦部隱球菌感染：需要整合治療
摘要
在目前癌症越來越被重視的時代，隱球菌感染有時候表現的很像癌症。因為腦部隱球菌感染這樣的病患，疾病變化多端，需要積極治療並且整合不同科別共同治療。在這裡我們報導一位非愛滋病患的女性老人，以類似腫瘤表現的腦部隱球菌感染的病例個案，接受兩周amphotericin B治療，接著使用口服的fluconazole治療三個月，病患恢復得相當好。臨床醫師應當在診斷癌症病患時，多考慮其他的鑑別診斷，例如隱球菌感染。我們的經驗強調，挽救腦部隱球菌感染，需要整合跨領域的醫療團隊共同治療，更能成功地拯救這樣的病患。
關鍵字
無資料並列摘要
Cerebral cryptococcosis is a deadly fungal infection, particularly, for elderly patients. Sometimes, the presentation of cerebral cryptococcoma mimics brain malignancy. It might confound diagnosis. To combat the disease progression, urgent and aggressive therapies with multidisciplinary support are beneficial. We report the case of an elderly woman with seronegative human immunodeficiency virus infection and cerebral cryptococcoma; she presented with symptoms that mimicked those of a brain tumor. She was treated with antifungal agents. We emphasize the need for multidisciplinary collaboration and care to manage cerebral cryptococcosis in elderly patients.
延伸閱讀
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