Disseminated Cryptococcosis Presenting with Adrenal Insufficiency and Meningitis: Resistant to Prolonged Antifungal Therapy but Responding to Bilateral Adrenalectomy.
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概要
- 論文の詳細を見る
A case of disseminated cryptococcosis with features of primary adrenal insufficiency and meningitis in an immunocompetent host is presented. Despite antifungal chemotherapy, neither meningitis nor bilateral adrenal gland enlargement was improved. Aspiration biopsy of the adrenal gland revealed necrotic tissue with numerous fungi, suggesting that the adrenal glands were the focus of the persistent fungemia. Removal of bilateral adrenal glands led to improvement by making the patient more sensitive to antifungal chemotherapy.(Internal Medicine 31: 1401-1405, 1992)
- 社団法人 日本内科学会の論文
著者
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TAKESHITA Akira
the Department of Cardiovascular Medicine ,Kyushu University Graduate School of Medical Science
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NAKAZAWA Hideki
the Division of Endocrine Surgery, Toranomon Hospital
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NAKAZAWA Hideki
The Department of Endocrine Surgery, Toranomon Hospital,
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SHISHIBA Yoshimasa
The Division of Endocrinology, Department of Internal Medicine, Toranomon Hospital
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TAKEUCHI Kazuo
the Division of Gastroenterology, Toranomon Hospital
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AKIYAMA Hiroshi
the Division of Endocrine Surgery, Toranomon Hospital
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KAWAI Ryuko
the Department of Pathology, Toranomon Hospital
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OOHASHI Kenichi
the Department of Pathology, Toranomon Hospital
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TAKESHITA Akira
the Division of Endocrinology and Metabolism, Toranomon Hospital
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SHISHIBA Yoshimasa
The Departments of Endocrinology and Metabolism, Toranomon Hospital
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SHISHIBA Yoshimasa
the Division of Endocrinology and Metabolism, Toranomon Hospital
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