糖尿病酮症酸中毒合并鼻-眼-脑曲霉感染1例

中国真菌学杂志　 2022, Vol. 17 　Issue (4): 311-314.

糖尿病酮症酸中毒合并鼻-眼-脑曲霉感染1例

李博志^1,2, 曹霞³, 郭宏伟³, 胡怀强³, 曹秉振³

1. 中国人民解放军陆军第八十集团军医院, 潍坊 261021;
2. 中国人民解放军总医院第一医学中心神经内科学部, 北京 100853;
3. 中国人民解放军联勤保障部队第九六○医院神经内科, 济南 250031

收稿日期:2017-07-10 出版日期:2022-08-28 发布日期:2022-08-31
通讯作者: 曹秉振,E-mail:cbzxia2011@163.com E-mail:cbzxia2011@163.com
作者简介:李博志,男(汉族),博士,住院医师.E-mail:libozhicy@163.com

A case of diabetic ketoacidosis complicated with acute explosive rhino-orbital-cerebral Aspergillus infection

Li Bozhi^1,2, Cao Xia³, Guo Hongwei³, Hu Huaiqiang³, Cao Bingzhen³

1. Department of Neurology, Hospital of PLA 80th Group Army, Weifang 261021, China;
2. Department of Neurology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China;
3. Department of Neurology, The 960th Hospital of Joint Logistics Support Force of PLA, Jinan 250031, China

Received:2017-07-10 Online:2022-08-28 Published:2022-08-31

摘要/Abstract

摘要： 24岁男性患者，头痛、流涕3天，腹痛1天入院。期间症状急性加重，出现左侧肢体偏瘫、右眼盲等症状。经查体、影像学、病理学等明确诊断为急性爆发性鼻-眼-脑曲霉感染。经盐酸米诺环素联合卡泊芬净治疗后症状得到控制，后择期进行了开颅手术治疗。发病后1年随访，患者偏瘫卧床，右眼视力有光感，整体病情稳定。

关键词: 曲霉, 鼻-眼-脑, 酮症酸中毒, 糖尿病

Abstract: A 24-year-old male patient was admitted with headache, runny nose for 3 days and abdominal pain for 1 day. During this period, the symptoms were acutely aggravated, including hemiplegia of the left limb and blindness of the right eye. After physical examination, imaging and pathology, it was definitely diagnosed as acute explosive rhino-orbital-cerebral Aspergillus infection. After treatment with minocycline hydrochloride combined with caspofungin, the symptoms were controlled and craniotomy was performed at a later time. One year follow-up after the onset of the disease, the patient was lying in bed with hemiplegia, and the right eye vision had light perception, and the overall condition was stable.

Key words: Aspergillus, rhino-orbital-cerebral, diabetic ketoacidosis, diabetes

中图分类号:

R519.8

李博志, 曹霞, 郭宏伟, 胡怀强, 曹秉振. 糖尿病酮症酸中毒合并鼻-眼-脑曲霉感染1例[J]. 中国真菌学杂志, 2022, 17(4): 311-314.

Li Bozhi, Cao Xia, Guo Hongwei, Hu Huaiqiang, Cao Bingzhen. A case of diabetic ketoacidosis complicated with acute explosive rhino-orbital-cerebral Aspergillus infection[J]. Chinese Journal of Mycology, 2022, 17(4): 311-314.

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