中国真菌学杂志2024,Vol.19Issue(4) :393-396.

尖端赛多孢致脑膜炎1例

A case report of meningitis caused by Scedosporium apiospermum

李小娟 李珏 李亚玲 李伟杰 韩永慧 陈丽琴 麻明彪
中国真菌学杂志2024,Vol.19Issue(4) :393-396.

尖端赛多孢致脑膜炎1例

A case report of meningitis caused by Scedosporium apiospermum

李小娟 1李珏 1李亚玲 1李伟杰 1韩永慧 1陈丽琴 1麻明彪1
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作者信息

  • 1. 昆明市儿童医院(昆明医科大学附属儿童医院),昆明 650028
  • 折叠

摘要

报道头部外伤致尖端赛多孢脑膜炎1例.将患者脑脊液阳性培养液进行真菌培养和形态学观察,菌株采用基质辅助激光解吸电离飞行时间质谱仪进行鉴定,并对菌株进行rDNA基因内转录间隔区测序及同源性分析,鉴定结果为尖端赛多孢.E-test体外药敏试验结果显示菌株对伏立康唑敏感.使用伏立康唑治疗3 d后患儿病情好转,但因突发蛛网膜下腔和脑干出血后出现脑死亡,最终放弃治疗.

Abstract

A case of infective Scedosporium apiospermum meningitis caused by head trauma was reported.Fungal culture and morphological observation were carried out in the positive culture medium of cerebrospinal fluid.The strain was identi-fied by the matter-assisted laser desorption ionization time-of-flight mass spectrometery.The internal transcribed spacer was sequenced and homologous analysis was performed.The strain was identified to be Scedosporium apiospermum.The results of E-test in vitro showed that the strain was sensitive to voriconazole.After 3 days of treatment with voriconazole,the pa-tient's condition improved,but the treatment was abandoned due to brain death after sudden subarachnoid and brainstem hemorrhage.

关键词

真菌/尖端赛多孢/波氏假阿利什霉/脑膜炎

Key words

fungus/Scedosporium apiospermum/Pseudallescheria boydii/meningitis

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出版年

2024
中国真菌学杂志
上海长征医院

中国真菌学杂志

CSTPCDCSCD
影响因子:0.557
ISSN:1673-3827
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