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隐球菌脑膜炎(以下简称隐脑)与结核性脑膜炎(以下简称结脑),因两者之起病方式、临床表现及实验室各项检查均极为相似,所以很易引起误诊,常常把隐脑误诊为结脑。本院自1978年2月至1987年10月共收治过隐脑12例,其中就有10例先后在他院或本院时间不同长短地被误诊为结脑。临床资料1.性别与年龄:12例隐脑中男女各6例,年龄自21～58岁,平均40岁。2.职业:农民居多,12例中占10例。3.确诊条件:脑脊液墨汁涂片找到新型隐球菌或培养到隐球菌。其中有1例连续14次涂片找隐球菌,另1例9次找到该菌,有3例涂片及培养均为阳性。
Cryptococcal meningitis (hereinafter referred to as cryptococcal) and tuberculous meningitis (hereinafter referred to as brain), because both the onset, clinical manifestations and laboratory tests are very similar, so it is easy to cause misdiagnosis, often Hidden brain misdiagnosed as knot brain. The hospital from February 1978 to October 1987 were treated with implicit brain in 12 cases, of which 10 cases were in his hospital or hospital different lengths were misdiagnosed as knot brain. Clinical data 1. Sex and age: 12 cases of implicit brain in 6 cases of men and women, aged from 21 to 58 years old, average 40 years old. 2. Occupation: Most peasants, 12 cases accounted for 10 cases. 3. Confirmatory conditions: cerebrospinal fluid ink smear found Cryptococcus neoformans or cultured to Cryptococcus. One case of 14 consecutive smear Cryptococcus, the other 9 cases to find the bacteria, there are 3 smears and culture were positive.