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人类曲菌病发生在脑部者甚罕见,术前亦较难确诊。本文报告一例脑部曲菌肉芽肿,曾多次拟诊为其他疾病,最后经病理检查确诊。现报告如下。陶××,女,35岁,农民,安徽省芜湖县人。1978年1月23日因头痛、低热伴呕吐5个月入院。患者于5个月前某天因农忙劳动时淋雨后感觉全身不适,2天后出现间歇性发冷发热、头痛及呕吐。在当地医院作腰穿,脑脊液白细胞320/立方毫米,以淋巴细胞为主,糖低于正常。血沉38毫米/小时。诊断为结核性脑膜炎。经抗痨治疗4月余,病情逐渐恶化,拟诊为结核性蛛网膜粘连,遂来本院诊治。过去无结核史,无外伤史,家族中无类似病史。
Human aspergillosis occurs in the brain is very rare, preoperative diagnosis is more difficult. This article reports a case of Cerebrospinalis granuloma, has repeatedly diagnosed as other diseases, and finally confirmed by pathological examination. The report is as follows. Tao × ×, female, 35 years old, farmer, Wuhu County, Anhui Province. January 23, 1978 due to headache, fever and vomiting 5 months admitted to hospital. Patient was feeling unwell after a rainy day on labor day 5 months ago. Chilled fever, headache and vomiting occurred intermittently after 2 days. In the local hospital for lumbar puncture, cerebrospinal fluid leukocyte 320 / cubic millimeter, predominantly lymphocytes, sugar below normal. ESR 38 mm / h. Diagnosis of tuberculous meningitis. After anti-tuberculosis treatment for more than 4 months, the condition deteriorated, to be diagnosed as tuberculous arachnoid adhesions, then came to our hospital for diagnosis and treatment. In the past no tuberculosis history, no history of trauma, no similar family history.