A Case of Coccidioidal Meningitis / 감염과화학요법
Infection and Chemotherapy
; : 75-79, 2012.
Article
de Ko
| WPRIM
| ID: wpr-154689
Bibliothèque responsable:
WPRO
ABSTRACT
A 35-year-old man with known coccidioidal meningitis developed a severe headache and vomiting during routine treatment. Hydrocephalus was visible on brain imaging, and CSF study revealed pleocytosis, lowering of glucose, and increased intracranial pressure. Dexamethasone and mannitol was used for intracranial pressure control. Intrathecal amphotericin B administration and switching to itraconazole resulted in gradual improvement of symptoms. After 4 months of discontinuing amphotericin B intrathecal administration, the patient developed severe headaches with vomiting, diplopia and tandem gait. Coccidioidal meningitis aggravation was suspected based on brain MRI and CSF studies. Ventriculo-peritoneal shunt insertion was performed for intracranial pressure control and the combined therapy of intrathecal amphotericin B administration and fluconazole was maintained. This combined regimen kept the meningitis stable for 1 month.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Vomissement
/
Encéphale
/
Dexaméthasone
/
Pression intracrânienne
/
Fluconazole
/
Amphotéricine B
/
Dérivation ventriculopéritonéale
/
Coccidioïdomycose
/
Itraconazole
/
Diplopie
Limites du sujet:
Adult
/
Humans
langue:
Ko
Texte intégral:
Infection and Chemotherapy
Année:
2012
Type:
Article