Revista cubana de medicina tropical · 2007
[Cryptococcosis in renal transplant recipients].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Paneque Rodríguez Ileana, Valdivia Julio, Aguiar Agramante Aily, Castillo Castillo Idania, Martínez Arroyo Margot, Delgado Almora Ernesto
Аннотация
This article presented the case of a 64 years-old renal transplant recipient, who was a poultry farm worker and had suffered meningoencephalitis six months after receiving immunosuppressive therapy. Rapid diagnosis was based on a cerebrospinal fluid sample analyzed with latex particles for Cryptococcus spp antigen detection. Culture of the clinical sample in agar-Sabouraund-chloramphenicol medium confirmed the initial diagnosis whereas biochemical identification was made with the API 20C AUX system. Amphotericin B treatment was immediately applied to the patient and later fluconazole until microbiological tests yielded negative results. After 5 months, the patient relapsed and restarted the specific treatment. He was followed up on outpatient service and two year after the organ transplantation, his recovery was favourable.
Предметные рубрики MeSH
Amphotericin BAnimal HusbandryAnimalsAntifungal AgentsCryptococcus neoformansDisease ReservoirsFluconazoleHumansImmunocompromised HostImmunosuppression TherapyKidney TransplantationMaleMeningitis, CryptococcalMiddle AgedOccupational DiseasesOccupational ExposureOpportunistic InfectionsPoultryRecurrence