Disseminated cryptococcosis characterized by obstructive jaundice and convulsions: a case report
10.3969/j.issn.1000-3606.2017.10.007
- VernacularTitle:以梗阻性黄疸、抽搐为表现的播散性隐球菌感染1例报告
- Author:
Zhiwen FAN
1
;
Lingling ZHAO
;
Hongmei DAI
Author Information
1. 中南大学湘雅三医院儿科 湖南长沙 410013
- Keywords:
biliary cryptococcosis;
cryptococcal meningitis;
obstructive jaundice
- From:
Journal of Clinical Pediatrics
2017;35(10):744-746
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnosis and treatment of disseminated cryptococcosis involving the biliary tract and the central nervous system. Methods The clinical data of one child with disseminated cryptococcosis involving biliary tract and central nervous system were analyzed retrospectively. The related literatures were reviewed. Results A 6-year-old boy presented with jaundice, hepatic dysfunction and convulsions. The surgical treatment was performed. The pathological biopsy showed cryptococcal infection, cryptococcal capsular polysaccharide antigen latex agglutination test in serum and cerebrospinal fluid were positive and cerebrospinal fluid ink staining was also positive. After antifungal treatment, the symptoms were relieved and no sequelae existed during the follow-up period. Conclusion Disseminated cryptococcosis simultaneously involving the biliary tract and the central nervous system is rare in children.
