[Cryptococcal meningitis with hearing loss as the first manifestation: a case report].
2021
报告一例以听力下降为首发症状的隐球菌脑膜炎患者的诊断和治疗经过,42岁男性患者,病程中出现发热、头痛,测听示双耳对称性感音神经性听力损失。头颅增强MRI示面听神经、硬脑膜强化;脑脊液培养示隐球菌,脑脊液墨汁染色阳性、隐球菌荚膜抗原阳性;肺部病变组织六胺银染色阳性。确诊为隐球菌脑膜炎、隐球菌肺炎。给予两性霉素B及氟胞嘧啶治疗后症状明显好转,听力逐渐恢复。以听力下降为首发临床表现的隐球菌脑膜炎病例少见,特此报道以引起临床医师关注,尤其是无隐球菌感染危险因素的脑膜炎患者,也应常规筛查隐球菌,避免漏诊。.
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