出院小结翻译.doc

出院小结翻译 Admission diagnosis:1.Sinus infection and intracranial? infection 2.? post-renal? transplantation Admission situation and treatment: 58-year-old man, related donor renal transplantation in April 2008, the function of transplanted kidney was normal. Received surgical therapy one after another in ... because of sinus a year ago. The pathological section of first surgery(2013.8) showed that it is likely to be fungal infection(most likely to be aspergillus),but didn’t show any?evidence on fungal infection thereafter. Pain in the left side of the forehead remission less obvious after operation, and the vision of left eye declined obviously.In December 2013, at wuhan union hospital department of ophthalmology, suspected as optic neuritis and received High-dose steroid pulse therapy and Decreasing therapy for about one month. Had a fever(37-38℃)with headache aggravated in march,2014, the CT showed the possibility of fungal infection of the left sphenoid sinus, and received antifungal therapy(Mycamine for one week, then voriconazole dropped for one week), instead of oral voriconazole after body temperature was normal and discharged. Reexamination of CT one month later showed the range of infection of the left sphenoid sinus get smaller.The patient had a rise in temperature(about 37.6℃)and headache aggravated again, after oral voriconazole for two months, the appetite and body weight declined obviously.The patient came to our hospital by July 21,2014,the outpatient CT showed the range of infection of sinus get larger again,......At July 23,the MRI and MRI enhancement scan showed infection of left sphenoid sinus and cavernous sinus, abscess formation of frontal lobe. First of all, we gave Mycamine(150mg,qd) after admission, the following day read as voriconazole(0.2,bid),posaconazole(10ml,bid)and Linezolid Injection(0.6g,qd) for anti-infection therapy, and stopped all immunosuppressants,supplement