ABDOMINAL CYST FORMATION FOLLOWING VENTRICULOPERITONEAL SHUNT IN A CASE OF HYDROCEPHALUS DUE TO CRYPTOCOCCAL MENINGITIS - CASE-REPORT - COMPLETELY CURED BY SURGICAL REMOVAL OF THE CYST AND TREATMENT WITH A NEWLY DEVELOPED ANTIFUNGAL DRUG (DIFULCAN)

被引：8

作者：

IZUMOTO, S ^{[1
]}

NAKAGAWA, H ^{[1
]}

FUJITA, T ^{[1
]}

KUBO, S ^{[1
]}

机构：

[1] CTR ADULT DIS,DEPT NEUROSURG,3-NAKAMICHI 1 CHOME,HIGASHINARI KU,OSAKA 537,JAPAN

来源：

SURGICAL NEUROLOGY | 1991年 / 36卷 / 05期

关键词：

CRYPTOCOCCAL MENINGITIS; VENTRICULOPERITONEAL SHUNT; ADENOSINE DEAMINASE ACTIVITY;

D O I：

10.1016/0090-3019(91)90031-4

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 54-year-old woman was admitted to the hospital for evaluation of meningitis. Tuberculous meningitis was suspected initially because of general findings and a high adenosine deaminase activity (ADA) value in the cerebrospinal fluid. Administration of antituberculous drugs was not effective. Computed tomography scanning revealed progression of ventricular enlargement. A ventriculoperitoneal shunt was placed upon diagnosis of hydrocephalus due to meningitis. The presence of a large abdominal cyst formation was demonstrated. Cryptococcus was detected in the cyst fluid, leading to a diagnosis of cryptococcal meningitis. Intravenous administration of fluconazole (400 mg/day) was begun. Excision of the cyst was performed when Cryptococcus was no longer detected in the cyst fluid. The patient recovered uneventfully.

引用

页码：394 / 399

页数：6