摘要
目的:探讨新型隐球菌脑膜炎(CNM)的临床特点及诊断方法。方法:对18例CNM患者的临床资料进行回顾性分析并文献复习。结果:18例患者均经病原学确诊。大部分CNM患者为亚急性起病,临床表现无特异性,误诊率高,首诊误诊率为72％,其中误诊为结核性脑膜炎的占69％。结论:脑脊液中找到新型隐球菌是诊断该病的重要依据,多种快速检测手段结合可提高早期诊断率。
objective： To explore tile clinical characters and diagnosis of cryptococcus neoformans meningitis（CNM）. Methods： We retrospectively analysed the clinical data of 18 patients with cryptococcal meningitis. The revelant medical literature was reviewed, Results： All patients were identified by pathogen. Most showed suhacute clinical course. Clinical presentations of CNM were not special, so it was easily misdiagnosised. Misdiagnosis rate was 72% at first time to consult a doctor. The cases misdiagnosised with tubercular encephmneningitis accounted for 69%. Conclusions： diagnosis is dependent on the finding of Cryptococcus neoformans. Rapid methods should he united to improve early diagnosis.
出处
《脑与神经疾病杂志》
2006年第3期180-182,共3页
Journal of Brain and Nervous Diseases
关键词
新型隐球菌
脑膜炎
检测
诊断
Cryptococcus neoformans meningitis detection diagnosis
