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肺移植受者的曲霉性心内膜炎。病例报告及移植文献综述。

Aspergillus endocarditis in a lung transplant recipient. A case report and review of the transplant literature.

作者信息

Gilbey J G, Chalermskulrat W, Aris R M

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of North Carolina at Chapel Hill, USA.

出版信息

Ann Transplant. 2000;5(3):48-53.

Abstract

Although various forms of Aspergillus disease are not uncommonly encountered in lung transplant recipients, Aspergillus endocarditis has never been reported. A case of Aspergillus endocarditis in a lung transplant recipient is presented here and is among 10 total cases reported in the solid organ transplant literature. This case is used to compare and contrast the clinical features of all of the reported cases with special emphasis on common characteristics that may aid in future case diagnoses and treatment. Pre-mortem diagnosis is difficult. Rapid diagnosis and combined medical and surgical therapy are essential for an optimal outcome.

摘要

尽管肺移植受者中各种形式的曲霉病并不罕见,但曲霉性心内膜炎从未有过报道。本文介绍了一例肺移植受者发生曲霉性心内膜炎的病例,这是实体器官移植文献中总共报道的10例病例之一。该病例用于比较和对比所有已报道病例的临床特征,特别强调可能有助于未来病例诊断和治疗的共同特征。生前诊断困难。快速诊断以及联合药物和手术治疗对于获得最佳结果至关重要。

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