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Neurology:毛霉菌相关血管炎1例

2019-05-31 佚名 脑血管病及重症文献导读

54岁,女性。既往糖尿病和 HIV 感染。

54岁,女性。

既往糖尿病和 HIV 感染

因头痛、流鼻涕和眼肌麻痹1个月就诊。

CSF 显示淋巴细胞增多。

鼻窦内侵袭性鼻窦病变(invasive sinusopathy),组织病理学确诊为毛霉菌感染

下图,高分辨血管壁影像增强现实 LCA 同心圆增厚。作者认为影像学提示内层可见炎症病变,外层可能为坏死区域。同时可见左侧海绵窦内脓毒性血栓



外科清创术,和两性霉素 B 治疗,最终死亡。

血管壁高分辨核磁可以用于诊断血管炎,因为其能够显示炎症区域强化。在这个病历中,可见与炎症相关的光滑和同心圆血管壁强化。

原始出处:Laisson de Moura Feitoza, Albina Altemani, Nivaldo Adolfo da Silva, et al. Teaching NeuroImages: Mucormycosis-associated vasculitis: A new sequence to show an old invasive infection. Neurology. April 09, 2019;

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    2020-03-15 yinhl1978
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