新生隐球菌脑膜炎临床误诊分析

目的　探讨新生隐球菌脑膜炎误诊的原因及其对策。方法　对本院 1980— 2 0 0 4年确诊的 19例新生隐球菌脑膜炎病人的诊断情况进行回顾分析。结果　 19例确诊前有 17例被误诊 ,其中误诊为结核性脑膜炎 7例 ,脑肿瘤 2例 ,病毒性脑膜炎 3例 ,脑水肿 1例 ,脑蛛网膜炎 1例 ,红斑狼疮脑病 1例 ,其他 2例。结论　提高对新生隐球菌脑膜炎的认识 ,对可疑病人多次做脑脊液墨汁涂片检查 ,或其他检查 ,可减少误诊。

Analysis on Clinical Misdiagnosis of Cryptococcal Meningitis

Objective To explore the reasons for misdiagnosis of cryptococcal meningitis, and the solutions. Methods The diagnosis situation of 19 cases of cryptococcal meningitis who have been confirmed from 1980 to 2004 are analysed.Results There are 17 misdiagnosis cases in 19 patients, of which 7 cases are tubercular meningitis,3 are viral meningitis,2 are brain tumor,1 is cerebral edema,1 is arachnoiditis of brain and 2 are others.Conclusion Misdiagnosis can be discreased by promoting learning about cryptococcal meningitis, examining the doubtful patients' CSF frequantly and another examinations.