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1、出院小结翻译Admissiondiagnosis:1.Sinusinfectionandintracranial infection2. post-renal transplantationAdmissionsituationandtreatment:58-year-oldman,relateddonorrenaltransplantationinApril2008,thefunctionoftransplantedkidneywasnormal.Receivedsurgicaltherapyoneafteranotherin...becau
2、seofsinusayearago.Thepathologicalsectionoffirstsurgery(2013.8)showedthatitislikelytobefungalinfection(mostlikelytobeaspergillus),butdidn’tshowany evidenceonfungalinfectionthereafter.Painintheleftsideoftheforeheadremissionlessobviousafteroperation,andthevisionoflefteyedeclin
3、edobviously.InDecember2013,atwuhanunionhospitaldepartmentofophthalmology,suspectedasopticneuritisandreceivedHigh-dosesteroidpulsetherapyandDecreasingtherapyforaboutonemonth.Hadafever(37-38℃)withheadacheaggravatedinmarch,2014,theCTshowedthepossibilityoffungalinfectionofthele
4、ftsphenoidsinus,andreceivedantifungaltherapy(Mycamineforoneweek,thenvoriconazoledroppedforoneweek),insteadoforalvoriconazoleafterbodytemperaturewasnormalanddischarged.ReexaminationofCTonemonthlatershowedtherangeofinfectionoftheleftsphenoidsinusgetsmaller.Thepatienthadarisei
5、ntemperature(about37.6℃)andheadacheaggravatedagain,afteroralvoriconazolefortwomonths,theappetiteandbodyweightdeclinedobviously.ThepatientcametoourhospitalbyJuly21,2014,theoutpatientCTshowedtherangeofinfectionofsinusgetlargeragain,......AtJuly23,theMRIandMRIenhancementscansh
6、owedinfectionofleftsphenoidsinusandcavernoussinus,abscessformationoffrontallobe.Firstofall,wegaveMycamine(150mg,qd)afteradmission,thefollowingdayreadasvoriconazole(0.2,bid),posaconazole(10ml,bid)andLinezolidInjection(0.6g,qd)foranti-infectiontherapy,andstoppedallimmunosuppr
7、essants,supplementproteinandgammaglobulin,nutritionalsupporttherapyetal.Thelumbarpunctureshowedthepressureofcerebrospinalfluidwasnormalinthisperiod,buttheIgG,IgM,IgAlevelsincrease,theglucoselevelwasnormalandtheproteinlevelwasincrease,alloftheseconformtothediagnosisofintracr
8、anialinfection........Thefeveraggravatedaftertreatmentfor4days,andthehighestbodyte
