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Successful treatment of Cryptococcus gattii neurocryptococcosis in a 5-year-old immunocompetent child from the French Guiana Amazon region.

Compared to the incidence in adults, cryptococcosis is rare among children. We report a case of neurocryptococcosis due to Cryptococcus gattii in a five-year-old girl without identified risk factors living in French Guiana. Neurological surgery in combination with long-term antifungal treatment with...

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Publicado en:Revista Iberoamericana de Micologia Vol. 29; no. 4; pp. 210 - 214
Autores principales: Debourgogne, Anne, Hagen, Ferry, Elenga, Narcisse, Long, Laurence, Blanchet, Denis, Veron, Vincent, Lortholary, Olivier, Carme, Bernard, Aznar, Christine
Formato: Artículo
Publicado: Elsevier B.V. 10/31/2012
Materias:
Infection treatment
Cryptococcosis
Neurosurgery
Juvenile diseases
Amphotericin B
Disease incidence
Comparative studies
French Guiana
Acceso en línea:Ver este registro en EBSCOhost
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        10.1016/j.riam.2012.01.008
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        atl: Successful treatment of Cryptococcus gattii neurocryptococcosis in a 5-year-old immunocompetent child from the French Guiana Amazon region.
      aug:
        au:
          Debourgogne, Anne
          Hagen, Ferry
          Elenga, Narcisse
          Long, Laurence
          Blanchet, Denis
          Veron, Vincent
          Lortholary, Olivier
          Carme, Bernard
          Aznar, Christine
        affil:
          Laboratoire Hospitalier et Universitaire de Parasitologie-Mycologie, CH Andrée Rosemon et et EA 3593, Faculté de Médecine, Université des Antilles et de la Guyane, Cayenne, Guiana
          Service de Parasitologie-Mycologie, CHU de Nancy, Vandoeuvre-les-Nancy, France
          Department of Yeast and Basidiomycete Research, CBS-KNAW Fungal Biodiversity Centre, Utrecht, Netherlands
          Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, Netherlands
          Service de Pédiatrie, CH Andrée Rosemon, Cayenne, Guyana
          Institut Pasteur, Unité de Mycologie Moléculaire, Centre National de Référence Mycologie et Antifongiques, Paris, France
          CNRS URA3012, Paris, France
          Université Paris Descartes, Hôpital Necker-Enfants Malades, Service de Maladies Infectieuses et Tropicales, Centre d'Infectiologie Necker-Pasteur, Paris, France
      su:
        Infection treatment
        Cryptococcosis
        Neurosurgery
        Juvenile diseases
        Amphotericin B
        Disease incidence
        Comparative studies
        French Guiana
      sug:
        subj:
          French Guiana
          Infection treatment
          Cryptococcosis
          Neurosurgery
          Juvenile diseases
          Amphotericin B
          Disease incidence
          Comparative studies
      keyword:
        Children
        Cryptococcus gattii
        Guyana francesa
        Neurocriptococcosis
        Neurocryptococcosis
        Niños
        Cryptococcus gattii
        Guyana francesa
        Neurocriptococcosis
        Niños
      ab:
        Compared to the incidence in adults, cryptococcosis is rare among children. We report a case of neurocryptococcosis due to Cryptococcus gattii in a five-year-old girl without identified risk factors living in French Guiana. Neurological surgery in combination with long-term antifungal treatment with amphotericin B and 5-flucytosine successfully resolved the cryptococcal infection. Subsequent molecular characterization of the Cryptococcus isolate revealed that the infection was caused by a C. gattii genotype AFLP6B/VGIIb strain.
        Comparado con la incidencia en pacientes adultos, la criptococosis es una infección excepcional entre niños. Describimos un caso de neurocriptococosis debida a Cryptococcus gattii en una niña de 5 años de edad, sin factores de riesgo identificados, que vivía en la Guyana francesa. La cirugía neurológica combinada con un tratamiento antimicótico prolongado con anfotericina B y flucitosina (5-fluorocitosina) resolvieron satisfactoriamente la infección. La caracterización molecular posterior del aislamiento de Cryptococcus reveló que la infección se debió al genotipo AFLP6B/cepa VGIIb de C. gattii.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      custom: Copyright of Revista Iberoamericana de Micologia is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
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