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尖端赛多孢致脑膜炎1例

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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.
A case report of meningitis caused by Scedosporium apiospermum
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.

fungusScedosporium apiospermumPseudallescheria boydiimeningitis

李小娟、李珏、李亚玲、李伟杰、韩永慧、陈丽琴、麻明彪

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昆明市儿童医院(昆明医科大学附属儿童医院),昆明 650028

真菌 尖端赛多孢 波氏假阿利什霉 脑膜炎

2024

中国真菌学杂志
上海长征医院

中国真菌学杂志

CSTPCD
影响因子:0.557
ISSN:1673-3827
年,卷(期):2024.19(4)