Disseminated Cryptococcosis in a Patient With Nephrotic Syndrome

被引：4

作者：

Giri, Prabhas Prasun ^{[1
]}

Pal, Priyankar ^{[1
]}

Gouda, B. Rudra ^{[2
]}

Sinha, Rajib ^{[1
]}

机构：

[1] Inst Child Hlth, Dept Pediat, Kolkata, India

[2] Bankura Sammiloni Med Coll, Dept Pediat, Bankura, India

来源：

ARCHIVES OF PEDIATRIC INFECTIOUS DISEASES | 2014年 / 2卷 / 04期

关键词：

Cryptococcosis; Nephrotic Syndrome; Cryptococcus neoformans;

D O I：

10.5812/pedinfect.8932

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Introduction: Disseminated cryptococcosis mainly occurs in patients with impaired cell mediated immunity. Case Presentation: We present a case of disseminated cryptococcosis, in a non-HIV patient with steroid resistant nephrotic syndrome (focal segmental glomerulosclerosis), who was given various immunosuppressive agents. Discussion: BACTEC blood culture, cerebrospinal fluid analysis, and chest x-rays, were consistent with a Cryptococcus neoformans infection. Treatment with liposomal amphotericin B, combined with flucytosine, followed by fluconazole, was successful.

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页数：3

相关论文

共 10 条

[1]

[Anonymous], 2012, CRYPTOCOCCUS NEOFORM

[2] Mycophenolate mofetil in children with steroid/cyclophosphamide-resistant nephrotic syndrome [J].

de Mello, Valderez Raposo ;

Rodrigues, Maira Tinte ;

Mastrocinque, Tais Helena ;

Laranjo Martins, Simone Paiva ;

Braga de Andrade, Olberes Vitor ;

Medeiros Guidoni, Eliana Biondi ;

Scheffer, Daniel Kashiwamura ;

Martini Filho, Dino ;

Toporovski, Julio ;

Benini, Vanda .

PEDIATRIC NEPHROLOGY, 2010, 25 (03) :453-460

[3] CRYPTOCOCCOSIS, WITH EMPHASIS ON SIGNIFICANCE OF ISOLATION OF CRYPTOCOCCUS-NEOFORMANS FROM RESPIRATORY-TRACT [J].

DUPERVAL, R ;

HERMANS, PE ;

BREWER, NS ;

ROBERTS, GD .

CHEST, 1977, 72 (01) :13-19

[4] CRYPTOCOCCOSIS IN THE ERA OF AIDS - 100 YEARS AFTER THE DISCOVERY OF CRYPTOCOCCUS-NEOFORMANS [J].

MITCHELL, TG ;

PERFECT, JR .

CLINICAL MICROBIOLOGY REVIEWS, 1995, 8 (04) :515-&

[5] Clinical Practice Guidelines for the Management of Cryptococcal Disease: 2010 Update by the Infectious Diseases Society of America [J].

Perfect, John R. ;

Dismukes, William E. ;

Dromer, Francoise ;

Goldman, David L. ;

Graybill, John R. ;

Hamill, Richard J. ;

Harrison, Thomas S. ;

Larsen, Robert A. ;

Lortholary, Olivier ;

Nguyen, Minh-Hong ;

Pappas, Peter G. ;

Powderly, William G. ;

Singh, Nina ;

Sobel, Jack D. ;

Sorrell, Tania C. .

CLINICAL INFECTIOUS DISEASES, 2010, 50 (03) :291-322

[6] Preface - Fungal infections, - Part I - Recent advances in diagnosis, treatment, and prevention of opportunistic mycoses [J].

Walsh, TJ ;

Rex, JH .

INFECTIOUS DISEASE CLINICS OF NORTH AMERICA, 2002, 16 (04) :IX-X

[7]

Qadir F, 2006, Indian J Med Microbiol, V24, P141

[8] Practice guidelines for the management of cryptococcal disease [J].

Saag, MS ;

Graybill, RJ ;

Larsen, RA ;

Pappas, PG ;

Perfect, JR ;

Powderly, WG ;

Sobel, JD ;

Dismukes, WE .

CLINICAL INFECTIOUS DISEASES, 2000, 30 (04) :710-718

[9] CLINICAL AND HOST DIFFERENCES BETWEEN INFECTIONS WITH THE 2 VARIETIES OF CRYPTOCOCCUS-NEOFORMANS [J].

SPEED, B ;

DUNT, D .

CLINICAL INFECTIOUS DISEASES, 1995, 21 (01) :28-34

[10]

Vijaya D, 2001, MYCOSES, V44, P113, DOI 10.1046/j.1439-0507.2001.00625.x