Roegel E, Batzenschlager A, Borrel D, Pauli G, Parini J P, Oudet P
Poumon Coeur. 1975;31(1):11-24.
The authors report five cases of invading and diffuse pulmonary aspergillosis. Clinically they are characterized by a development in a still clear pulmonary field in patients with a lessened organic resistance and under corticosteroid treatment. Necrotic phenomenons occurred very quickly and prognosis was poor. Anatomically, foci were spreading, rapidly necrosing and contained Aspergillus. Diagnosis was based, besides etiological circumstances, on the presence of Aspergillus in sputum and of anti-aspergillus precipitins in serum.
作者报告了5例侵袭性和播散性肺曲霉病。临床上,其特征为在机体抵抗力降低且接受皮质类固醇治疗的患者中,在原本清晰的肺野中发病。坏死现象出现很快,预后较差。解剖学上,病灶呈播散性,迅速坏死,且含有曲霉菌。除病因情况外,诊断还基于痰中存在曲霉菌以及血清中存在抗曲霉菌沉淀素。