12/31/2023 0 Comments Vinyl player for saleThe cerebrospinal fluid (CSF) was colorless and clear, the white blood cell (WBC) count was 69*10 6/L, mononuclear cells were 85%, the glucose level was 0.82 mmol/L, the chloride level was 116.0 mmol/L, and India ink staining was positive ( Table 1). A routine blood examination revealed a hemoglobin level of 86 g/L. The patient was negative for HIV and exhibited normal liver function. The results of other neurological and other system examinations were normal. On examination, the patient was thin, had lost 7.5 kg, exhibited diminished lower extremity muscle power in both legs (4/5), was positive for the Kernig sign, answered questions incoherently, had papilledema, and had poor memory. Initially, the patient was admitted to the Department of Infectious Diseases. The peak axillary temperature was approximately 38.5☌, and the patient reported progressively worsening headache, malaise, and decreased appetite and wasting, followed by bilateral lower limb malaise, walking instability, blurred vision and memory loss for 10 days prior to admission. Case descriptionĪ 34-year-old man who was previously healthy and who did not have a medical history or previous medical care was admitted to the hospital on 13 January 2011, due to intermittent fever for a month. Herein, we report a case of cryptococcal meningitis that was treated with only fluconazole for several days and eventual ventriculoperitoneal shunt placement the patient was infected with Cryptococcus for a long time without thorough treatment. The mechanism of intracranial hypertension may be mechanical obstruction of the outflow by Cryptococci that block the passage of CSF across the arachnoid villi similarly, cryptococcal capsular polysaccharides can accumulate in the arachnoid villi and subarachnoid spaces, impairing the CSF drainage system ( 6). More than half of patients with cryptococcal meningitis have an intracranial pressure exceeding 250 mmH 2O, and aggressive control of intracranial pressure significantly improves survival odds ( 6, 7). Intracranial hypertension is a serious complication of cryptococcal meningitis, and cerebral edema caused by a rapid increase in intracranial pressure is an important predictor of a poor prognosis in the early stage of the disease ( 4, 5). Early detection and management of cryptococcal infection, a rapid reduction in fungal burden, and control of intracranial pressure can reduce mortality, whereas suboptimal antifungal treatment and immunological dysregulation can lead to treatment failure ( 4). An estimated 223,100 cases of cryptococcal meningitis occur worldwide each year, resulting in approximately 181,100 deaths annually ( 3). Cryptococcal meningitis can occur in AIDS patients and other immunocompromised persons. I) Vintage Record Players by Decade a) 1940s 1.Cryptococcal meningitis is the most common fungal infection of the central nervous system (CNS) and has a high mortality rate it is mainly caused by Cryptococcus neoformans or Cryptococcus gattii infection ( 1, 2). With a little bit of leg work, authentic vintage and antique record players from most any time period can be found. When looking for very old record players, buyers should use search terms like phonograph or gramophone. Be wary of any record player that doesn’t have some kind of branding and model number. Record players in the 80s often have AM/FM radio, cassette and/or 8 Track players as part of the unit.Īdditionally, authentic antique record players will have manufacturer tags, typically underneath or on the back of the unit. For example, early 20 th century record players had cabinets/cases made from solid wood, such as mahogany or oak. Depending on the time period of the record player certain features will be present. If a buyer is looking for an authentic antique record player, they should look for brands such as RCA, Columbia, Edison, HMV (His Master’s Voice), Victor/Victrola, Zenith, Panasonic, General Electric, etc.
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