Successful treatment for cryptococcal meningoencephalitis complicated by cerebral salt-wasting syndrome in a patient with chronic lymphocytic leukemia: A clinical case

被引：0

作者：

Potapenko, V. G. ^{[1
,2
]}

Konovalenko, I. B. ^{[1
]}

Oksema, E. V. ^{[1
]}

Filippova, L. N. ^{[1
]}

Dulaeva, E. N. ^{[1
]}

Derevyannykh, N. A. ^{[1
]}

Krasnoruzhsky, A. I. ^{[1
]}

Klimovich, A. V. ^{[1
]}

Klimko, N. N. ^{[3
]}

Medvedeva, N. V. ^{[1
]}

机构：

[1] City Clin Hosp Thirty One, St Petersburg, Russia

[2] Acad IP Pavlov First St Petersburg State Med Univ, Minist Hlth Russia, St Petersburg, Russia

[3] II Mechnikov North Western State Med Univ, PN Kashkin Res Inst Med Mycol, Minist Hlth Russia, St Petersburg, Russia

来源：

TERAPEVTICHESKII ARKHIV | 2015年 / 87卷 / 11期

关键词：

Cryptococcus; meningoencephalitis; cerebral salt-wasting syndrome; amphotericin B; chronic lymphocytic leukemia; HYPONATREMIA; MENINGITIS; MANAGEMENT;

D O I：

10.17116/terarkh2015871199-102

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cryptococcus neoformans is a common agent of fungal meningoencephalitis in immunocompromised patients. Cerebral salt-wasting syndrome is one of the rare causes of severe hyponatremia in patients with CNS diseases. The paper describes the first clinical case of a patient, whose onset of chronic lymphocytic leukemia was complicated by cryptococcal meningoencephalitis presenting with mental disorders and severe electrolytic imbalance. Antifungal treatment with amphotericin B and fluconazole could alleviate an infectious process and metabolic disturbances.

引用

页码：99 / 102

页数：4

共 13 条

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