Late presentation of Cryptococcus gattii meningitis in a traveller to Vancouver Island:: A case report

Late presentation of Cryptococcus gattii meningitis in a traveller to Vancouver Island:: A case report
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DOI:
10.1155/2007/319296
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发表时间:
2007-05-01
影响因子:
2.8
通讯作者:
Gill, M. John
Gill, M. John
中科院分区:
医学4区
文献类型:
--
作者:
Levy, Ron;Pitout, Johann;Gill, M. John

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自1999年以来,加蒂隐球菌已被确定为不列颠哥伦比亚省温哥华岛的主要病原体,并导致生活在该地区的人和动物感染。阿尔伯塔省一名先前健康的45岁女性居民在前往温哥华岛一个流行地区后1个月感染了加蒂C。一例免疫功能正常的病人,有一个非典型的长潜伏期,谁提出亚急性脑膜炎继发于播散性肺隐球菌病。本报告强调,在治疗非典型肺部感染或脑膜炎的患者时,有必要保持临床警惕,这些患者曾到温哥华岛的流行地区度假。
Since 1999, Cryptococcus gattii has been identified as a primary pathogen on Vancouver Island in British Columbia, and it has resulted in infection of both people and animals living in that area. A previously healthy 45-year-old female resident of Alberta developed C gattii infection I I months after travelling to an endemic region of Vancouver Island. A case of an immunocompetent patient, with an atypically long incubation time, who presented with subacute meningitis secondary to disseminated pulmonary cryptococcosis is presented. The present report highlights the need for clinical vigilance in treating patients presenting with atypical pulmonary infections or meningitis who have been holiday travellers to endemic areas of Vancouver Island.