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Cerebrospinal fluid microscopy as an index for predicting the prognosis of cryptococcal meningitis patients with and without HIV

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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 [3]Pinghu Second Peoples Hosp, Dept Lab Med, Ningbo 314200, Zhejiang, Peoples R China [4]Hebei Univ Engn, Dept Dermatol, Affiliated Hosp, Handan 430000, Hebei, Peoples R China [5]Wenzhou Med Univ, Dept Clin Lab, Affiliated Xiangshan Hosp, Ningbo 315000, Zhejiang, 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
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关键词: cerebrospinal fluid microscopy cryptococcal meningitis epidemiology fungal burden HIV and non-HIV prognosis risk factors

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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.

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出版当年[2021]版:
大类 | 3 区 生物
小类 | 3 区 微生物学
最新[2025]版:
大类 | 4 区 生物学
小类 | 4 区 微生物学
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出版当年[2020]版:
Q3 MICROBIOLOGY
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Q3 MICROBIOLOGY

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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
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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
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