The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A Case of Aspergillosis of the Central Nervous System in an Immunocompetent Patient

면역력이 정상인 환자에서 발생한 중추신경계의 아스페르길루스증 1예

  • Joe, Byung-Hyun (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Hwang, Eun-Jung (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Park, So-Youn (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Son, Jun-Sung (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Lee, Mi-Suk (Department of Internal Medicine, Kyung Hee University School of Medicine)
  • 조병현 (경희대학교 의학전문대학원 내과학교실) ;
  • 황은정 (경희대학교 의학전문대학원 내과학교실) ;
  • 박소연 (경희대학교 의학전문대학원 내과학교실) ;
  • 손준성 (경희대학교 의학전문대학원 내과학교실) ;
  • 이미숙 (경희대학교 의학전문대학원 내과학교실)
  • Published : 2011.05.01
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Abstract

Invasive aspergillosis usually does not occur in immunocompetent patients. Recently, however, the incidence of invasive aspergillosishas been increasing in immunologically competent patients. It is difficult to diagnose neuroaspergillosis because of its variedradiological findings and clinical manifestations. We report a case of aspergillosis of the central nervous system, presenting as amass-like lesion, in an immunocompetent patient. The patient was diagnosed after a surgical biopsy and treated with antifungalagents. The clinical outcome was good.

침습성 아스페르길루스증은 면역학적으로 저하되어 있는 경우에 흔한 것으로 알려져 있으나 최근 면역학적으로 정상인 자에서 발생하는 빈도가 과거에 비해 증가 추세이며 중추신경계에서 발생하는 경우 그 임상양상이나 방사선학적 소견이 다양하기 때문에 초기 진단이 쉽지 않다. 본 저자들은 면역학적으로 정상인 환자에서 뇌종양 양상으로 중추신경계에 발생한 침습성 아스페르길루스증을 경험하였기에 이를 보고하는 바이다.

Keywords

References

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