Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
Ⅰ.はじめに
近年抗生物質の大量投与に伴い,更には副腎皮質ホルモンや免疫抑制剤の使用なども関係し,真菌による中枢神経系感染症が増加しており,またいったん発症するとその治療はきわめて困難である.最近我々は非常に稀であるとされている黒色分芽菌(黒カビ)による多発性脳膿瘍の1症例を経験し,開頭術により病変部の摘出後,新しい抗真菌剤である5-Fluorocytosine(5-FC)による治療を行い,経口投与後の血中および髄液内濃度を経時的に測定したので,症例を報告し,真菌性脳膿瘍の治療に関して老察を加える.
A 34-year-old woman was admitted to the Neurosurgical Department of Nagasaki University Hospital with complaints of visual disturbance and left hemiparesis. On admission, the patient was well developed, moderately nourished. Temperature was 36.8℃ and blood pressure was in a normal range for her age. Cutaneous lesion and lymphadenopathy were not found. There were wheezing rales at the both lungs. Neurological examination revealed a left hemiparesis and bilateral papilledma. Disturbance of ocular movement was also noted in both sides.
Copyright © 1977, Igaku-Shoin Ltd. All rights reserved.