脑型毛霉菌病误诊1例报告并文献复习  

Misdiagnosis of Cerebral Mucormycosis:One Case Report and Literature Review

作　　者：孙晓峰[1] 刘洪泉[1] 王洪生[1] 赵佩林[1] 王立忠[1] 

机构地区：[1]解放军第二五一医院神经外科,河北张家口075000

出　　处：《中国误诊学杂志》2006年第22期4312-4314,共3页Chinese Journal of Misdiagnostics

摘　　要：目的:探讨脑型毛霉菌病(C erebralM ucorm ycosis,CM)临床特征、诊治及误诊原因。方法:报告1例脑型毛霉菌病死亡病例,并结合文献探讨该病的临床特点及诊治方法。结果:对毛霉菌病的认识不足,病原学检查不及时是延误诊断治疗的主要原因。结论:早期诊断、使用二性霉素B(Am photericin B,AM B)、及时彻底的病灶清除及高压氧治疗是降低本病病死率的有效方法。Objective：To explore the clinical haracteristics,diagnosis,treatment and misdiagnosis reason of cerebral mucormycosis. Methods ：One case of CM with death was reported and the clinical characteristics,diagnosis and therapy of CM were discussed and the relevant literature was reviewed. Results：The major reason of misdiagnosis included lack of recognition of CM ,and delayed etiological exam ination. Conclusions,.Prompt diagnosis,application of AME,surgical debridement and hyperbaric oxygen treatment are the effective measure of decreasing case fatality of CM,

关 键 词：中枢神经系统真菌感染/诊断 毛霉菌病/诊断 误诊 

分 类 号：R518.904[医药卫生—内科学]