Rask C U, Peterslund N A
Arhus Universitetshospital, haematologisk afdeling B.
Ugeskr Laeger. 2000 Feb 7;162(6):795-7.
We present two cases of invasive aspergillosis in patients with acute myeloid leukemia. In neutropenic patients with antibiotic resistent fever, without specific symptoms or signs, invasive aspergillosis should be considered. Diagnostic approaches such as X-ray/CT-scan of the thorax and sinuses, relevant cultures and antigen detection should be performed. Due to diagnostic difficulties and the rapid progression of the infection empirical antifungal therapy should be given. During subsequent neutropenic episodes prophylactic antifungal therapy can possibly preempt recurrence.
我们报告了两例急性髓系白血病患者发生侵袭性曲霉病的病例。对于伴有抗生素耐药性发热且无特异性症状或体征的中性粒细胞减少患者,应考虑侵袭性曲霉病。应进行胸部和鼻窦的X线/CT扫描、相关培养及抗原检测等诊断方法。由于诊断困难且感染进展迅速,应给予经验性抗真菌治疗。在随后的中性粒细胞减少发作期间,预防性抗真菌治疗可能会预防复发。