Isolated intramedullary cryptococcal granuloma of the conus medullaris: case report and review of the literature.

Infection of the nervous system by Cryptococcus neoformans most often causes meningitis and meningoencephalitis. While there have been several cases of cerebral cryptoccal granuloma published in the literature, the isolated occurrence of intramedullary cryptococcal granuloma is very rare. We present...

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Publicado en:Scandinavian Journal of Infectious Diseases Vol. 38; no. 6/7; pp. 562 - 566
Autores principales: Shen C, Cheng W, Yang M
Formato: case study Journal Article
Publicado: Taylor & Francis Ltd Jul2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2006
      vid: 38
      iid: 6/7
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        2009253092
        10.1080/00365540500434646
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        105951366
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        atl: Isolated intramedullary cryptococcal granuloma of the conus medullaris: case report and review of the literature.
      aug:
        au:
          Shen C
          Cheng W
          Yang M
      sug:
        subj:
          Granuloma Pathology
          Spinal Cord Diseases Pathology
          Spinal Cord Neoplasms Pathology
          Aged
          Amphotericin B Administration and Dosage
          Amphotericin B Adverse Effects
          Antifungal Agents Administration and Dosage
          Cryptococcus
          Diagnosis, Differential
          Fluconazole Administration and Dosage
          Granuloma Microbiology
          Granuloma Surgery
          Immunocompetence
          Laminectomy
          Male
          Spinal Cord Diseases Drug Therapy
          Spinal Cord Diseases Microbiology
          Aged: 65+ years
          Male
      ab: Infection of the nervous system by Cryptococcus neoformans most often causes meningitis and meningoencephalitis. While there have been several cases of cerebral cryptoccal granuloma published in the literature, the isolated occurrence of intramedullary cryptococcal granuloma is very rare. We present an immunocompetent patient with such a lesion of the conus medullaris. The patient's clinical symptoms mimicked an intramedullary spinal cord tumor. The diagnosis was made by histopathology, rather than by image or laboratory examinations. The case was successfully managed with surgical removal of the lesion and postoperative anti-fungal treatment.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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