Document Detail


Abdominal cyst formation following ventriculoperitoneal shunt in a case of hydrocephalus due to cryptococcal meningitis. Case report: completely cured by surgical removal of the cyst and treatment with a newly developed anti-fungal drug (Difulcan).
MedLine Citation:
PMID:  1745967     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 54-year-old woman was admitted to the hospital for evaluation of meningitis. Tuberculous meningitis was suspected initially because of general findings and a high adenosine deaminase activity (ADA) value in the cerebrospinal fluid. Administration of antituberculous drugs was not effective. Computed tomography scanning revealed progression of ventricular enlargement. A ventriculo-peritoneal shunt was placed upon diagnosis of hydrocephalus due to meningitis. The presence of a large abdominal cyst formation was demonstrated. Cryptococcus was detected in the cyst fluid, leading to a diagnosis of cryptococcal meningitis. Intravenous administration of fluconazole (400 mg/day) was begun. Excision of the cyst was performed when Cryptococcus was no longer detected in the cyst fluid. The patient recovered uneventfully.
Authors:
S Izumoto; H Nakagawa; T Fujita; S Kubo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  36     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1991 Nov 
Date Detail:
Created Date:  1992-01-14     Completed Date:  1992-01-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  394-9     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Center for Adult Diseases, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Cerebrospinal Fluid Shunts / adverse effects*
Combined Modality Therapy
Cysts / microbiology,  therapy*
Female
Fluconazole / therapeutic use*
Humans
Hydrocephalus / etiology,  therapy*
Meningitis, Cryptococcal / complications*
Middle Aged
Peritoneal Diseases / microbiology,  therapy*
Chemical
Reg. No./Substance:
86386-73-4/Fluconazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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