医学
抗真菌
脑膜炎
隐球菌性脑膜炎
隐球菌
传染病(医学专业)
氟康唑
人类免疫缺陷病毒(HIV)
疾病
儿科
重症监护医学
隐球菌病
免疫学
内科学
病毒性疾病
皮肤病科
微生物学
生物
作者
Z Y Liu,G Q Wang,Liping Zhu,Xinjun Lyu,Q Q Zhang,Yaya Yu,Zhuoming Zhou,Y B Liu,Wei Cai,R Y Li,W H Zhang,F J Zhang,Hao Wu,Yun Xu,Hongzhou Lu,T S Li
出处
期刊:PubMed
日期:2018-05-01
卷期号:57 (5): 317-323
被引量:32
标识
DOI:10.3760/cma.j.issn.0578-1426.2018.05.003
摘要
Cryptococcal meningitis is a common and refractory central nervous system infection, with high rates of mortality and disability. The experts of the Society of Infectious Diseases of Chinese Medical Association have reached this consensus after a thorough discussion. Based on the current situation of cryptococcal meningitis in China, the management of cryptococcal meningitis includes 6 aspects: introduction, microorganism identification, clinical manifestations and diagnosis, principles of antifungal therapy, treatment of refractory and recurrent meningitis, treatment of intracranial hypertension. There is not a separate consensus on human immunodeficiency virus (HIV) infection in patients with cryptococcal meningitis. This article focuses on different antifungal regimens and reducing intracranial pressure by reference to Infectious Disease Society of America (IDSA) guidelines. The importance of early diagnosis, combined long-term antifungal therapy, control of intracranial hypertension are emphasized.
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