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肾移植患者的播散性曲霉病:再次强调诊断困难。

Disseminated aspergillosis in a renal transplant patient: Diagnostic difficulties re-emphasized.

作者信息

Murray H W, Moore J O, Luff R D

出版信息

Johns Hopkins Med J. 1975 Nov;137(5):235-7.

PMID:1102746
Abstract

An asymptomatic and radiographically occult lung abscess was the primary focus of infection in this case of fatal disseminated aspergillosis in a renal transplant recipient. Extensive neurological evaluation in response to a change in personality failed to reveal a brain abscess, which was the cause of death. This case illustrates the variability in presentations of aspergillosis and the continuing difficulties in diagnosing this infection in immunosuppressed patients.

摘要

在这位肾移植受者发生的致命播散性曲霉病病例中,一个无症状且影像学隐匿的肺脓肿是感染的主要病灶。针对性格改变进行的广泛神经学评估未能发现脑脓肿,而脑脓肿是导致死亡的原因。该病例说明了曲霉病临床表现的多样性以及在免疫抑制患者中诊断这种感染仍存在的困难。

相似文献

1
Disseminated aspergillosis in a renal transplant patient: Diagnostic difficulties re-emphasized.肾移植患者的播散性曲霉病:再次强调诊断困难。
Johns Hopkins Med J. 1975 Nov;137(5):235-7.
2
Cutaneous aspergillosis with fatal dissemination in a renal transplant recipient.肾移植受者发生皮肤曲霉病并致死性播散。
Can Med Assoc J. 1980 Mar 22;122(6):673-6.
3
An unusual cause of ureteral obstruction in a renal transplant recipient: ureteric aspergilloma.肾移植受者输尿管梗阻的一种罕见原因:输尿管曲菌球。
Transplant Proc. 2005 Jun;37(5):2115-7. doi: 10.1016/j.transproceed.2005.03.035.
4
Pelvic aspergillosis with tubo-ovarian abscess in a renal transplant recipient.
J Infect. 2001 Apr;42(3):215-7. doi: 10.1053/jinf.2001.0791.
5
Aspergillus fumigatus epidural abscess in a renal transplant recipient.一名肾移植受者发生烟曲霉性硬膜外脓肿。
Arch Intern Med. 1978 Jan;138(1):153-4.
6
Fatal outcome of disseminated invasive aspergillosis in kidney allograft recipients.肾移植受者中播散性侵袭性曲霉病的致命结局。
Med Mycol. 2008 Nov;46(7):713-7. doi: 10.1080/13693780802227282.
7
Nocardial brain abscess in a renal transplant recipient successfully treated with triple antimicrobials.一名肾移植受者的诺卡菌性脑脓肿经三联抗菌药物治疗成功。
Clin Nephrol. 1998 Aug;50(2):128-30.
8
Cutaneous aspergillosis in a renal transplant recipient.
J Med Liban. 2004 Apr-Jun;52(2):111-4.
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Disseminated toxoplasmosis with brain involvement in a renal allograft recipient.
Bull Los Angeles Neurol Soc. 1977 Mar;42(1):16-22.
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Aspergillosis osteomyelitis and joint infection in a renal transplant recipient.一名肾移植受者的曲霉性骨髓炎和关节感染
Transplant Proc. 2007 Jun;39(5):1662-3. doi: 10.1016/j.transproceed.2006.11.020.

引用本文的文献

1
Aspergillus thyroiditis: a complication of respiratory tract infection in an immunocompromised patient.曲霉性甲状腺炎:免疫功能低下患者呼吸道感染的一种并发症。
Case Rep Endocrinol. 2013;2013:741041. doi: 10.1155/2013/741041. Epub 2013 Dec 18.
2
Rapidly growing thyroid mass in an immunocompromised young male adult.一名免疫功能低下的年轻成年男性甲状腺肿块迅速增大。
Case Rep Endocrinol. 2013;2013:290843. doi: 10.1155/2013/290843. Epub 2013 Jul 9.
3
Aspergillus thyroiditis: a review of the literature to highlight clinical challenges.
曲霉性甲状腺炎:文献复习以突出临床挑战。
Eur J Clin Microbiol Infect Dis. 2012 Dec;31(12):3259-64. doi: 10.1007/s10096-012-1704-9. Epub 2012 Jul 28.
4
Fungal thyroiditis: an overview.真菌性甲状腺炎:概述
Mycopathologia. 2006 Mar;161(3):129-39. doi: 10.1007/s11046-005-0239-3.
5
Infections in solid-organ transplant recipients.实体器官移植受者的感染
Clin Microbiol Rev. 1997 Jan;10(1):86-124. doi: 10.1128/CMR.10.1.86.
6
Cutaneous aspergillosis with fatal dissemination in a renal transplant recipient.肾移植受者发生皮肤曲霉病并致死性播散。
Can Med Assoc J. 1980 Mar 22;122(6):673-6.
7
Letter: Diagnosis of invasive aspergillosis.信函:侵袭性曲霉病的诊断
Br Med J. 1976 Feb 28;1(6008):524. doi: 10.1136/bmj.1.6008.524-c.
8
A guide to the recent literature on aspergillosis as caused by Aspergillus fumigatus, a fungus frequently found in self-heating organic matter.由烟曲霉引起的曲霉病近期文献指南,烟曲霉是一种常见于自热有机物质中的真菌。
Mycopathologia. 1979 Nov 30;69(1-2):67-81. doi: 10.1007/BF00428605.