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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Fungal brain abscesses in neonates: Sonographic appearances and corresponding histopathologic findings.
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Fungal brain abscesses in neonates: Sonographic appearances and corresponding histopathologic findings.

机译：新生儿的真菌性脑脓肿：超声表现和相应的组织病理学发现。

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摘要

Extremely preterm neonates and neonates with predisposing conditions such as congenital or acquired immunodeficiency are at high risk for systemic fungal infection. Abscess formation in the brain is a severe complication that occurs in 70% of neonates with systemic fungal infection. Cerebral sonography can be used to diagnose abscesses in the brain in these patients. We report 2 sonographic presentations of fungal brain abscesses in neonates confirmed by postmortem histopathologic examination. The first patient, an extremely preterm neonate of 23 weeks' gestation with a systemic Candida albicans infection, had multiple small, round, hypoechoic lesions with echogenic rims in both brain hemispheres. The second patient, a term neonate with disseminated aspergillosis and DiGeorge syndrome, had a few large echogenic areas in the right periventricular region. Brain imaging should be considered in the diagnostic workup in neonates with suspected systemic fungal infection. Cerebral involvement can be diagnosed at the bedside with cerebral sonography. Copyright 2001 John Wiley & Sons, Inc.
机译：极早产婴儿和患有先天性或获得性免疫缺陷等易感疾病的新生儿极易发生全身性真菌感染。脑内脓肿的形成是一种严重的并发症，发生在70％的全身性真菌感染的新生儿中。脑超声检查可用于诊断这些患者的脑脓肿。我们报告了死后组织病理学检查证实的新生儿中真菌性脑脓肿的2个超声检查表现。第一名患者是妊娠23周的极早产新生儿，全身性念珠菌感染，在两个脑半球均出现多个小而圆形的低回声病灶，并伴有回声边缘。第二名患者是足月新生儿，患有弥散性曲霉病和DiGeorge综合征，在右心室周围区域有一些较大的回声区。在怀疑患有系统性真菌感染的新生儿的诊断检查中，应考虑进行脑成像。可以在床旁用脑超声检查诊断出大脑受累。版权所有2001 John Wiley＆Sons，Inc.

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