RESUMO
Sleep disorder including insomnia is one of the complications of general anaesthesia. It is not uncommon andit is temporary but majority remains unnoticed and untreated. The effect of insomnia ranges from mild tosevere, influencing both physical and mental health. Surgeon and anaesthetist need to identify thiscomplication so that an appropriate treatment can be delivered. In complicated case, psychiatristinvolvement is crucial. The treatment is symptomatic and temporary. We reported a case of distressful sleepdisorder as a sequelae of general anaesthesia for mastoidectomy surgery. Subsequently after symptomatictreatment, he recovered completely and regained his normal sleep pattern.
RESUMO
Although echinocandins,a new generation of antifungal drugs,shows good fungicidal activity against distinct species of Candida,with the extending usage,the activity of echinocandins is gradually to decline,which is caused by different resistance mechanisms.Also,a number of factors may influence its results of susceptibility in vitro (e.g.,human serum,culture temperature in vitro,the pH of the culture medium,and others).Paradoxical effect of echinocandins has its own characteristics and need a further study.In China,there are a few reports about the instances of drug resistance because of the limited clinic application.The study on the echinocandins in prevalence rate of drug resistance and antifungal activity under different status has important clinical significance.