Aim: To evaluate the clinical data and quantitative cerebrospinal fluid for associations with the outcome of cryptococcal meningitis (CM) patients in the hospital. Patients & methods: We retrospectively analyzed a total of 139 CM patients comprising 108 without HIV and 31 with HIV admitted in a Jiang Xi hospital. Results: We found that CM patients with the high fungal burden (>= 10 yeasts/ul) (26.3%) had a worse prognosis than those with the low fungal burden (<10 yeasts/ul). (4.9%) (p = 0.0007 <0.05). Conclusion: In CM patients, a fungal burden of 10 yeasts/ul in the first cerebrospinal fluid test may be used as an indicator of patient prognosis, and we can personalize patients' treatment based on the fungal burden to improve prognosis.
基金:
Chinese Academy of Engineering [19-HN-XZ-06, 2019-XY-33, 2020-XY-61-01]; National Natural Science Foundation of China [31770161]; Science and Technology Commission of Shanghai Municipality [17DZ2272900]; Shanghai Municipal Commission of Health and Family Planning [2017ZZ01024-001]; Major National R&D Projects of the National Health Department [2018ZX10101003]; Shanghai Sailing Program [19YF1448000]
第一作者机构:[1]Second Mil Med Univ, Shanghai Changzheng Hosp, Shanghai Inst Mycol, Shanghai Key Lab Mol Med Mycol, Shanghai 200003, Peoples R China[2]Second Mil Med Univ, Shanghai Changzheng Hosp, Dept Dermatol, Shanghai 200003, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Second Mil Med Univ, Shanghai Changzheng Hosp, Shanghai Inst Mycol, Shanghai Key Lab Mol Med Mycol, Shanghai 200003, Peoples R China[2]Second Mil Med Univ, Shanghai Changzheng Hosp, Dept Dermatol, Shanghai 200003, Peoples R China[6]Jiangxi Chest Hosp, Dept Neurol, Nanchang 330000, Jiangxi, Peoples R China[7]Jiangxi Prov Peoples Hosp, Dept Neurol, Nanchang 330000, Jiangxi, Peoples R China
推荐引用方式(GB/T 7714):
Zhang Keming,Li Hang,Zhang Lei,et al.Cerebrospinal fluid microscopy as an index for predicting the prognosis of cryptococcal meningitis patients with and without HIV[J].FUTURE MICROBIOLOGY.2020,15(17):1645-1652.doi:10.2217/fmb-2020-0086.
APA:
Zhang, Keming,Li, Hang,Zhang, Lei,Liao, Wanqing,Ling, Liyan...&Zhang, Qilong.(2020).Cerebrospinal fluid microscopy as an index for predicting the prognosis of cryptococcal meningitis patients with and without HIV.FUTURE MICROBIOLOGY,15,(17)
MLA:
Zhang, Keming,et al."Cerebrospinal fluid microscopy as an index for predicting the prognosis of cryptococcal meningitis patients with and without HIV".FUTURE MICROBIOLOGY 15..17(2020):1645-1652