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Meningeal sporotrichosis in an immunocompetent host: A case report.
Ribeiro, Victor Teatini; Caligiorne, Rachel Basques; Martins, Aldrin Pedroza; Gomes Neto, Antônio Pereira; Christo, Paulo Pereira.
Afiliação
  • Ribeiro VT; Departament of Neurology, Santa Casa de Belo Horizonte Hospital, Belo Horizonte (MG), Brazil.
  • Caligiorne RB; Faculdade Santa Casa BH, Programa de Pós-graduação Stricto Sensu, Belo Horizonte (MG), Brazil.
  • Martins AP; Departament of Neurology, Santa Casa de Belo Horizonte Hospital, Belo Horizonte (MG), Brazil.
  • Gomes Neto AP; Departament of Neurology, Santa Casa de Belo Horizonte Hospital, Belo Horizonte (MG), Brazil.
  • Christo PP; Departament of Neurology, Santa Casa de Belo Horizonte Hospital, Belo Horizonte (MG), Brazil.
Med Mycol Case Rep ; 45: 100665, 2024 Sep.
Article em En | MEDLINE | ID: mdl-39290785
ABSTRACT
A 78-year-old woman presented to hospital with altered mental status. Hyponatremia was diagnosed and treated. She maintained mental confusion despite normal sodium. No headache, fever or focal signs were present. CSF analysis showed chronic meningitis; MRI demonstrated basilar enhancement. She was empirically treated for tuberculosis, with no improvement. PCR for Sporothrix in the CSF was positive. After treatment with Amphotericin followed by oral itraconazole, she completely recovered her cognitive abilities. Follow-up CSF was normal. This report illustrates the need to consider sporotrichosis in the differential diagnosis of chronic meningitis in immunocompetent, and the importance of PCR as a diagnostic tool.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Med Mycol Case Rep Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Med Mycol Case Rep Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda