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1例急性髓系白血病合并播散性真菌感染及肺出血

Disseminated fungal infection complicated with pulmonary haemorrhage in a case of acute myeloid leukaemia.

作者信息

Thulkar S, Sharma S, Das P K, Kumar L

机构信息

Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India.

出版信息

Postgrad Med J. 2000 Nov;76(901):704-7. doi: 10.1136/pmj.76.901.704.

Abstract

Pulmonary haemorrhage is a common necropsy finding in acute leukaemia, however, it is rarely diagnosed during life. A man with acute myeloid leukaemia is reported who presented with disseminated fungal infection, anaemia, thrombocytopenia, and subconjuctival and petechial haemorrhages. During the course of the patient's illness, the chest infection was complicated with bilateral pulmonary haemorrhage. The diagnosis of pulmonary haemorrhage was based on characteristic clinical and radiological findings. The patient improved on treatment.

摘要

肺出血是急性白血病常见的尸检发现,然而,生前很少被诊断出来。本文报道了一名患有急性髓性白血病的男性,其出现播散性真菌感染、贫血、血小板减少以及结膜下和瘀点性出血。在患者病程中,肺部感染并发双侧肺出血。肺出血的诊断基于特征性的临床和影像学表现。患者经治疗后病情好转。

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