脳動脈瘤根治術後に発症したアスペルギルス脳膿瘍の1治験例

A Case of Cerebral Aspergilloma following Radical Operation of Cerebral Aneurysm

I．はじめに

　中枢神経系のアスペルギルス症は極めて稀な疾患であるが，近年，各種疾患に対する抗生剤，ステロイド剤の大量投与，臓器移植，放射線療法などの普及につれて増加傾向が見られる．今回われわれは，前交通動脈瘤根治術後，アスペルギルス脳膿瘍を併発し，手術および薬物療法により良好な経過をたどった症例を経験したので，若干の文献的考察を加え報告する．

A case of aspergillotic abscess with granuloma is reported. A 45-year-old man was admitted to our hospital on Apr. 10, 1984 due to the rupture of an aneurysm of the anterior communicating artery.

Neck clipping of the aneurysm was proposed on Apr. 12, 1984, but was not performed because of cardiac arrest with unknown etiology during the operation. Neck clipping was performed on Apr. 23, 1984. Antibiotic therapy was prolonged for about three weeks.

About 6 months after surgery, he was readmitted on Oct. 12, 1984 with the chief complaint of general fatigue and headache.