A Case of AIDS with Intractable Cryptococcal Meningitis
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- KONISHI Mitsuru
- Second Department of Internal Medicine, Nara Medical University
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- MIGITA Takafumi
- Second Department of Internal Medicine, Nara Medical University
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- MORI Kei
- Second Department of Internal Medicine, Nara Medical University
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- IMAE Norihisa
- Second Department of Internal Medicine, Nara Medical University
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- YAMANAKA Takayo
- Second Department of Internal Medicine, Nara Medical University
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- MAEDA Koichi
- Second Department of Internal Medicine, Nara Medical University
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- MIKASA Keiichi
- Second Department of Internal Medicine, Nara Medical University
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- SAWAKI Masayoshi
- Second Department of Internal Medicine, Nara Medical University
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- YOSHIOKA Akira
- Department of Pediatrics, Nara Medical University
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- SANO Reiko
- Division of Central Clinical Laboratory, Nara Medical University
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- MASUTANI Takayuki
- Division of Central Clinical Laboratory, Nara Medical University
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- NARITA Nobuhiro
- Second Department of Internal Medicine, Nara Medical University
Bibliographic Information
- Other Title
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- クリプトコッカス髄膜炎の治療に難渋したAIDSの1例
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Abstract
A 38-year-old hemophiliac, who had been infected with HIV by the administration of blood products and had been diagnosed as AIDS by the onset of Pneumocystis carinii pneumonia, was admitted to our hospital with the complaints of headache and vomiting. After he was diagnosed as cryptococcal menigtis using the microsopy, cryptococcal antigen detection and culture of cerebrospinal fluid, treatment with amphotericin-B and fluconazole was started. As there was no clinical improvement, spinal drainage was performed and acetazolamide administered in order to reduce the intracaranial pressure. Treatment was changed from AMPH-B and FLCZ to a combined therapy of AMPH-B and itraconazole. As his clinical features showed improvement, he was discharged home on a maintenance dose of ITCZ and acetazolamide after having been hospitalized for three months. This case-report may be of use in the management of cryptococcal menignitis in patients with AIDS.
Journal
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- Kansenshogaku Zasshi
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Kansenshogaku Zasshi 70 (7), 752-756, 1996
The Japanese Association for Infectious Diseases
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Keywords
Details 詳細情報について
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- CRID
- 1390282680023198464
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- NII Article ID
- 130004330482
- 10008723595
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- NII Book ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- PubMed
- 8797310
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- Data Source
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed