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https://ir.cnu.edu.tw/handle/310902800/31082
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| 標題: | Multiple Brain Abscesses Due to Aspergillus Fumigatus in a Patient With Liver Cirrhosis A Case Report |
| 作者: | Tang, Hung-Jen
Liu, Wei-Lun
Chang, Tsung Chain
Li, Ming-Chi
Ko, Wen-Chien
Wu, Chi-Jung
Chuang, Yin-Ching
Lai, Chih-Cheng |
| 貢獻者: | Chi Mei Med Ctr, Dept MedChia Nan Univ Pharm & Sci, Dept Hlth & Nutr
Chi Mei Med Ctr, Dept Intens Care Med
Natl Cheng Kung Univ, Coll Med, Dept Med Lab Sci & Biotechnol
Natl Cheng Kung Univ, Coll Med, Natl Cheng Kung Univ Hosp, Dept Internal Med
Natl Hlth Res Inst, Natl Inst Infect Dis & Vaccinol
Chi Mei Med Ctr, Dept Med ResChi Mei Med Ctr, Dept Internal Med |
| 日期: | 2016-03 |
| 上傳時間: | 2018-01-18 11:41:23 (UTC+8) |
| 出版者: | Lippincott Williams & Wilkins |
| 摘要: | Invasive cerebral aspergillosis always developed in immunocompromised host. Early diagnosis may save life in this critical condition; however, it is difficult to reach. Herein, we presented an unusual case of invasive cerebral aspergillosis in a cirrhotic patient. A 47-year-old man presented with progressive deterioration of consciousness for three days. The patient had a history of alcoholic liver cirrhosis, Child-Pugh class C. Magnetic resonance imaging (MRI) of brain showed multi-focal parenchymal lesions, which was consistent with multiple brain abscesses. The diagnosis of invasive cerebral aspergillosis was made by molecular based laboratory methods including Aspergillus galactomannan antigen assay and oligonucleotide array. Despite treatment with the antifungal agent, Amphotericin B, the patient died at the ninth day of hospitalization. Our findings suggest that liver cirrhosis can be one of risk factors of invasive cerebral aspergillosis, and support the diagnosing usefulness of MRI, Aspergillus galactomannan antigen assay, and oligonucleotide array. |
| 關聯: | Medicine, v.95 n.9, UNSP e2813 |
| 顯示於類別: | [保健營養系(所) ] 期刊論文
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