論文

査読有り
2015年

Voriconazole-responsive Disseminated Nodular Lesions on Spinal MRI

INTERNAL MEDICINE
  • Seiko Hirota
  • ,
  • Shinji Ito
  • ,
  • Takao Fukui
  • ,
  • Kenichiro Murate
  • ,
  • Sayuri Shima
  • ,
  • Madoka Kizawa
  • ,
  • Akihiro Ueda
  • ,
  • Kunihiko Asakura
  • ,
  • Tatsuro Mutoh

54
2
開始ページ
215
終了ページ
218
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2169/internalmedicine.54.3148
出版者・発行元
JAPAN SOC INTERNAL MEDICINE

A 74-year-old woman was hospitalized due to dysuria, weakness and dysesthesia of the lower extremities. She was in an immunosuppressed state following the administration of methylprednisolone therapy for idiopathic interstitial pneumonia. Cerebrospinal fluid and blood cultures were negative, and no infectious biomarkers were found. A gadolinium (Gd)-enhanced T1-weighted image of magnetic resonance imaging (MRI) revealed disseminated nodular lesions along the spinal cord. We suspected a diagnosis of seronegative deep mycosis and initiated anti-fungal therapy with voriconazole, which subsequently alleviated all of the patient's symptoms and MRI findings. Therefore, the presence of Gd-enhanced disseminated nodules on spinal MRI may be a good marker of deep meningeal mycosis.


リンク情報
DOI
https://doi.org/10.2169/internalmedicine.54.3148
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000348131900018&DestApp=WOS_CPL

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